Provider Demographics
NPI:1881223592
Name:STEIN, RACHEL (MED, LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:MED, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 FM 1626 STE 170-403
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6038
Mailing Address - Country:US
Mailing Address - Phone:985-520-2178
Mailing Address - Fax:
Practice Address - Street 1:2137 HERZOG
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6120
Practice Address - Country:US
Practice Address - Phone:985-520-2178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-04
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14653101YA0400X
TX75986101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)