Provider Demographics
NPI:1720365620
Name:BENEFIELD, RACHEL (LPC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:BENEFIELD
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 1:2969 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-6252
Mailing Address - Country:US
Mailing Address - Phone:770-378-8655
Mailing Address - Fax:770-703-5676
Practice Address - Street 1:8045 TARA BLVD STE 145
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-3294
Practice Address - Country:US
Practice Address - Phone:770-378-8655
Practice Address - Fax:770-703-5676
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006186101YM0800X, 101YP2500X
GA00186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health