Provider Demographics
NPI:1821419367
Name:BERNIER, RACHEL VICTORIA (PLMHP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:VICTORIA
Last Name:BERNIER
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 JASON CIR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-5311
Mailing Address - Country:US
Mailing Address - Phone:937-594-0873
Mailing Address - Fax:
Practice Address - Street 1:965 PATRICIA DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2922
Practice Address - Country:US
Practice Address - Phone:402-932-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health