Provider Demographics
NPI:1952831430
Name:RACHEL, AIMEE (MSW)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:RACHEL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 LIVINGSTON DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-3493
Mailing Address - Country:US
Mailing Address - Phone:940-594-3814
Mailing Address - Fax:
Practice Address - Street 1:3001 FM 2181 # 100
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-2101
Practice Address - Country:US
Practice Address - Phone:940-497-4644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker