Healthcare Provider Details

I. General information

NPI: 1003974833
Provider Name (Legal Business Name): RACHEL FROST GREENE BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL V WATSON MS

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 W COLLEGE ST
FLORENCE AL
35630-5313
US

IV. Provider business mailing address

1316 SOMERVILLE RD SE SUITE 1
DECATUR AL
35601-4305
US

V. Phone/Fax

Practice location:
  • Phone: 256-764-3431
  • Fax: 256-765-2036
Mailing address:
  • Phone: 256-260-7361
  • Fax: 256-341-0747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: