Provider Demographics
NPI:1205492014
Name:BODMAN, RACHEL ANNE HEMPERLY (MA, LMHC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE HEMPERLY
Last Name:BODMAN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANNE
Other - Last Name:HEMPERLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:2027 196TH ST SW STE A205
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7073
Mailing Address - Country:US
Mailing Address - Phone:425-224-5740
Mailing Address - Fax:
Practice Address - Street 1:16825 48TH AVE W STE 346
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-6408
Practice Address - Country:US
Practice Address - Phone:425-224-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60899855101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health