Provider Demographics
NPI:1417150830
Name:SWORD, RACHEL BETH (LPC-S, NCC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:BETH
Last Name:SWORD
Suffix:
Gender:F
Credentials:LPC-S, NCC
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:BETH
Other - Last Name:TOLLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2951 MARINA BAY DR STE 130-72
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2735
Mailing Address - Country:US
Mailing Address - Phone:361-247-0428
Mailing Address - Fax:
Practice Address - Street 1:6021 FAIRMONT PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-4511
Practice Address - Country:US
Practice Address - Phone:281-769-2238
Practice Address - Fax:281-769-2164
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2022-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72715101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
101YM0800X
NC6840101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103799Medicaid