MEDICARE: RACHEL STUBBS LPC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1780399816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL STUBBS LPC

Provider Business Mailing Address
First Line	:	143 FORSHAW DR
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-1486
Country	:	US
Telephone Number	:	678-777-2714
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 NORTHSIDE DR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2673
Country	:	US
Telephone Number	:	678-777-2714
Fax Number	:

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

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	02/22/2023

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Directions to “ RACHEL STUBBS LPC” Practice Location

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