Provider Demographics
NPI:1760159602
Name:GREENLAW, RACHEL CHAPPELL (MED, ALC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CHAPPELL
Last Name:GREENLAW
Suffix:
Gender:F
Credentials:MED, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 YEAGER PKWY STE F
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-4884
Mailing Address - Country:US
Mailing Address - Phone:205-660-1959
Mailing Address - Fax:
Practice Address - Street 1:262 YEAGER PKWY STE F
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-4884
Practice Address - Country:US
Practice Address - Phone:205-660-1959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional