Provider Demographics
NPI:1952183386
Name:RACHEL ADEL BURKE PSYD LLC
Entity type:Organization
Organization Name:RACHEL ADEL BURKE PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ADEL
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:304-315-2088
Mailing Address - Street 1:253 FORT HILL FARM DR
Mailing Address - Street 2:
Mailing Address - City:HEDGESVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25427-6682
Mailing Address - Country:US
Mailing Address - Phone:304-579-3334
Mailing Address - Fax:
Practice Address - Street 1:6867 HEDGESVILLE RD
Practice Address - Street 2:
Practice Address - City:HEDGESVILLE
Practice Address - State:WV
Practice Address - Zip Code:25427
Practice Address - Country:US
Practice Address - Phone:304-315-2088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty