MEDICARE: RAYCHEL CHRISTINE YEARSLEY MS, LPC-INTERN

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	101YP2500X	Professional Counselor	75030	TX

General Provider Information

NPI Number	:	1558869701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYCHEL CHRISTINE YEARSLEY MS, LPC-INTERN

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 AIRPORT RD STE L103
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-7092
Country	:	US
Telephone Number	:	254-724-2585
Fax Number	:

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

Provider Enumeration Date	:	01/23/2018
Last Update Date	:	01/23/2026

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