Provider Demographics
NPI:1922632926
Name:KEMP, RACHEL (MS, LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:KEMP
Suffix:
Gender:F
Credentials:MS, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SHAE LN
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37030-2038
Mailing Address - Country:US
Mailing Address - Phone:615-967-5006
Mailing Address - Fax:
Practice Address - Street 1:132 THIRD AVE W
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-1233
Practice Address - Country:US
Practice Address - Phone:615-281-9897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4648101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional