Provider Demographics
NPI:1497096465
Name:FOX, RACHEL ANNE (LPCA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:FOX
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 ILLINOIS WAY
Mailing Address - Street 2:
Mailing Address - City:COXS CREEK
Mailing Address - State:KY
Mailing Address - Zip Code:40013-7828
Mailing Address - Country:US
Mailing Address - Phone:502-836-8094
Mailing Address - Fax:
Practice Address - Street 1:110 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2423
Practice Address - Country:US
Practice Address - Phone:270-763-0728
Practice Address - Fax:270-763-9618
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY128532101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional