Provider Demographics
NPI:1912775156
Name:FRAZIER, RACHEL OLSHINE (EDD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:OLSHINE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 MIAMI DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-3552
Mailing Address - Country:US
Mailing Address - Phone:903-241-5123
Mailing Address - Fax:
Practice Address - Street 1:1506 MIAMI DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-3552
Practice Address - Country:US
Practice Address - Phone:903-241-5123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68503101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health