Provider Demographics
NPI:1396270336
Name:GRAVES, RACHEL REBECCA (LPC)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:REBECCA
Last Name:GRAVES
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 1:1305 10TH AVE STE F
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-6229
Mailing Address - Country:US
Mailing Address - Phone:205-479-2968
Mailing Address - Fax:
Practice Address - Street 1:1305 10TH AVE STE F
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-6229
Practice Address - Country:US
Practice Address - Phone:205-479-2968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC2846A101Y00000X
AL4220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor