Provider Demographics
NPI:1467085449
Name:HARRIS, RACHEL (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 GOEBEL AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-2421
Mailing Address - Country:US
Mailing Address - Phone:815-347-7960
Mailing Address - Fax:
Practice Address - Street 1:807 GOEBEL AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-2421
Practice Address - Country:US
Practice Address - Phone:815-347-7960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional