Provider Demographics
NPI:1205063179
Name:RACHT, ANITA LAYNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:LAYNE
Last Name:RACHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2455
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-2455
Mailing Address - Country:US
Mailing Address - Phone:828-877-4277
Mailing Address - Fax:828-877-4922
Practice Address - Street 1:151 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-9843
Practice Address - Country:US
Practice Address - Phone:828-877-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 2260101YM0800X
NC2893101YP2500X
SC2380101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health