Doctor Name: | RACHAEL A WHITEHEAD |
NPI Number: | 1033453659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 65452 |
Business Practice Address: | 800 W Highway 290 Building A, Suite 100 Dripping Springs, TX - 786204191 |
Business Phone Number: | 5125679002 |
Business Fax Number: | 5128584223 |
Mailing Address: | 3712 Manchaca Rd Apt 10, AUSTIN |
State: | TX |
Postal Code: | 787046778 |
Phone Number: | 5125679002 |
Fax Number: | 5128584223 |
NPI Enumeration Date: | 11/20/2012 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 65452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |