| Organization Name: | ELAINE G. RASCO, LPC, LLC |
| NPI Number: | 1043696743 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ELAINE GAMEL-RASCO (LICENSED PROFESSIONAL COUNSELOR) |
| Mailing Address: | 4268 Cahaba Heights Ct Ste 190 Vestavia |
| State: | AL US |
| Postal Code: | 352435711 |
| Phone Number: | 2052536520 |
| Fax Number: | 2052591626 |
| NPI Enumeration Date: | 08/04/2015 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |