Provider Demographics
NPI:1780094532
Name:HERRERA, RACHEL LEAH
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEAH
Last Name:HERRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:LEAH
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1921 RANSOM PLACE NASHVILLE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217
Mailing Address - Country:US
Mailing Address - Phone:615-463-6200
Mailing Address - Fax:
Practice Address - Street 1:713 SHORT CHEATHAM ST,
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37127-3557
Practice Address - Country:US
Practice Address - Phone:615-463-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health