Provider Demographics
NPI:1932465366
Name:WOLFE, RACHEL LEIGH (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LEIGH
Last Name:WOLFE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 WHEELER RD
Mailing Address - Street 2:SUITE 619
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-1871
Mailing Address - Country:US
Mailing Address - Phone:706-733-0333
Mailing Address - Fax:706-733-0313
Practice Address - Street 1:3540 WHEELER RD
Practice Address - Street 2:SUITE 619
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-1871
Practice Address - Country:US
Practice Address - Phone:706-733-0333
Practice Address - Fax:706-733-0313
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005296101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional