Provider Demographics
NPI:1497129506
Name:HERRIAN, RACHEL (LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HERRIAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 OLD TOWN BLVD N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-3954
Mailing Address - Country:US
Mailing Address - Phone:940-294-7060
Mailing Address - Fax:
Practice Address - Street 1:138 OLD TOWN BLVD N
Practice Address - Street 2:SUITE 200
Practice Address - City:LANTANA
Practice Address - State:TX
Practice Address - Zip Code:76226-3954
Practice Address - Country:US
Practice Address - Phone:940-294-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19293101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional