Provider Demographics
NPI:1609028596
Name:PHILLIPS-BUCK, RACHEL COLLEEN (MMFT, LPC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:COLLEEN
Last Name:PHILLIPS-BUCK
Suffix:
Gender:F
Credentials:MMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-4908
Mailing Address - Country:US
Mailing Address - Phone:325-665-7346
Mailing Address - Fax:
Practice Address - Street 1:526 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-4908
Practice Address - Country:US
Practice Address - Phone:325-665-7346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61449101YP2500X
TX101191106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist