Davis, Rachael Lucille
Davis, Rachael Lucille is an individual health care provider with primary practice located at 4321 Fulcrum Way Ne Ste B , Rio Rancho NM 87144-8410. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davis, Rachael Lucille can be contacted via phone (505) 771-5397.Contact Information
Primary practice address
4321 Fulcrum Way Ne Ste B
Rio Rancho NM 87144-8410
Phone: (505) 771-5397
Fax: (505) 867-3514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LMHC: 0082641 | New Mexico |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CCMH0213141 | New Mexico |
Profile Details
| NPI number | 1396830923 |
|---|---|
| LBN Legal business name | Davis, Rachael Lucille |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Apr 21st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396830923 | NPPES |
| New Mexico | MEDICAID | 39173097 |
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