Provider Demographics
NPI:1811228455
Name:OLIENYK, RACHEL CHRISTINE (LPC, RPT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:OLIENYK
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11495
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72917-1495
Mailing Address - Country:US
Mailing Address - Phone:479-784-1464
Mailing Address - Fax:479-784-1471
Practice Address - Street 1:7701 SOUTH ZERO STREET
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72917-1495
Practice Address - Country:US
Practice Address - Phone:479-784-1464
Practice Address - Fax:479-784-1471
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA0910114101Y00000X
ARP1204046101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor