Provider Demographics
NPI:1003651746
Name:PRIVITT, RACHEL DIANE (LPC-A)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DIANE
Last Name:PRIVITT
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:DIANE
Other - Last Name:BECKHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6800 WEISKOPF AVE STE 154
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5242
Mailing Address - Country:US
Mailing Address - Phone:469-812-8940
Mailing Address - Fax:
Practice Address - Street 1:6800 WEISKOPF AVE STE 154
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5242
Practice Address - Country:US
Practice Address - Phone:469-812-8940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95453101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health