Provider Demographics
NPI:1013292283
Name:FISHMAN, RACHEL A (MA, LAPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:A
Last Name:FISHMAN
Suffix:
Gender:F
Credentials:MA, LAPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3485 DANVERS WALK SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-1624
Mailing Address - Country:US
Mailing Address - Phone:404-695-8069
Mailing Address - Fax:
Practice Address - Street 1:3485 DANVERS WALK SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-1624
Practice Address - Country:US
Practice Address - Phone:404-695-8069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional