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NPI Code Detail

MEDICARE: RACHAEL HEINSEN LMFT

MEDICARE:   RACHAEL  HEINSEN  LMFT
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
1106H00000XMarriage & Family Therapist51812CA
2106H00000XMarriage & Family Therapist1265GA

General Provider Information

NPI Number : 1821325911
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL HEINSEN LMFT
Provider Business Mailing Address
First Line : 4 BRADLEY PARK CT STE 1B
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3636
Country : US
Telephone Number : 706-617-5510
Fax Number : 706-327-1444
Provider Business Practice Location Address
First Line : 4 BRADLEY PARK CT STE 1B
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3636
Country : US
Telephone Number : 706-617-5510
Fax Number : 706-327-1444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 01/30/2020

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Directions to “ RACHAEL HEINSEN LMFT” Practice Location

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