Provider Demographics
NPI:1639741416
Name:HAULEY, RACHEL CHRISTINE X (LMHC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:HAULEY
Suffix:X
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W STREET EXT
Mailing Address - Street 2:
Mailing Address - City:NIVERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12130-2018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 W STREET EXT
Practice Address - Street 2:
Practice Address - City:NIVERVILLE
Practice Address - State:NY
Practice Address - Zip Code:12130-2018
Practice Address - Country:US
Practice Address - Phone:518-331-1305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010676-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health