Provider Demographics
NPI:1659147205
Name:GUNTER-GARCIA, RACHEL KARA (LMSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KARA
Last Name:GUNTER-GARCIA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 RAILGATE LOOP
Mailing Address - Street 2:
Mailing Address - City:LUGOFF
Mailing Address - State:SC
Mailing Address - Zip Code:29078-8990
Mailing Address - Country:US
Mailing Address - Phone:803-800-6375
Mailing Address - Fax:
Practice Address - Street 1:599 RAILGATE LOOP
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-8990
Practice Address - Country:US
Practice Address - Phone:803-800-6375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12581104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker