Provider Demographics
NPI:1770909897
Name:BINNIX, RACHEL (EDS, NCSP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BINNIX
Suffix:
Gender:F
Credentials:EDS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-1310
Mailing Address - Country:US
Mailing Address - Phone:937-859-5121
Mailing Address - Fax:937-865-5724
Practice Address - Street 1:424 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-1310
Practice Address - Country:US
Practice Address - Phone:937-859-5121
Practice Address - Fax:937-865-5724
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool