Provider Demographics
NPI:1356884167
Name:CLEMONS, RACHEL (LMHC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CLEMONS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:GREENWICH
Other - Last Name:CLEMONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD
Mailing Address - Street 1:PO BOX 1547
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-1547
Mailing Address - Country:US
Mailing Address - Phone:561-565-0072
Mailing Address - Fax:561-855-4504
Practice Address - Street 1:824 W CANAL ST S
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-2942
Practice Address - Country:US
Practice Address - Phone:561-565-0072
Practice Address - Fax:561-855-4504
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 14623101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health