Provider Demographics
NPI:1598006439
Name:SMITH-RICHARDSON, RACHEL L (LPC-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:L
Last Name:SMITH-RICHARDSON
Suffix:
Gender:F
Credentials:LPC-C
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:L
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4010 N LINCOLN BLVD STE. 250
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-5222
Mailing Address - Country:US
Mailing Address - Phone:405-606-7890
Mailing Address - Fax:405-606-7890
Practice Address - Street 1:4010 N LINCOLN BLVD STE. 250
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5222
Practice Address - Country:US
Practice Address - Phone:405-606-7890
Practice Address - Fax:405-606-7890
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200287120AMedicaid
200508610BOtherPROVIDER