Provider Demographics
NPI:1497375562
Name:BERGER, RACHEL MIRIAM (LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MIRIAM
Last Name:BERGER
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 1:7925 CROSS PLAINS DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3629
Mailing Address - Country:US
Mailing Address - Phone:972-800-8182
Mailing Address - Fax:
Practice Address - Street 1:13500 MIDWAY RD STE 404
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-5154
Practice Address - Country:US
Practice Address - Phone:972-800-8182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-19
Last Update Date:2020-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73836101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor