MEDICARE: RACHEL C MIDDAUGH LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA171325	OH
2	101YM0800X	Mental Health Counselor	17816	NC

General Provider Information

NPI Number	:	1073123287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL C MIDDAUGH LCMHC

Provider Business Mailing Address
First Line	:	9208 FALLS OF NEUSE RD STE 201
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2438
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9208 FALLS OF NEUSE RD STE 201
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2438
Country	:	US
Telephone Number	:	919-277-0253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2020
Last Update Date	:	02/20/2026

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