Provider Demographics
NPI:1740961747
Name:RACHEL WAGERS COUNSELING, LLC
Entity type:Organization
Organization Name:RACHEL WAGERS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-445-2118
Mailing Address - Street 1:7580 THUNDER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-8268
Mailing Address - Country:US
Mailing Address - Phone:859-445-2118
Mailing Address - Fax:859-795-5118
Practice Address - Street 1:7580 THUNDER RIDGE DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-8268
Practice Address - Country:US
Practice Address - Phone:859-445-2118
Practice Address - Fax:859-795-5118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty