| Doctor Name: | MRS. RACHEL RODGERS GILLIS |
| NPI Number: | 1528054434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW BCD |
| License Number: | SW5373 |
| Business Practice Address: | 3686 Us Highway 331 S Defuniak Springs, FL - 32435 |
| Business Phone Number: | 8508928045 |
| Business Fax Number: | 8508928039 |
| Mailing Address: | 1604 County Highway 192, DEFUNIAK SPRINGS |
| State: | FL |
| Postal Code: | 32433 |
| Phone Number: | 8508592591 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW5373 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |