Healthcare Provider Details

I. General information

NPI: 1265180244
Provider Name (Legal Business Name): RACHEL ALLGOOD LPC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 HERITAGE DR
TUSCALOOSA AL
35406-3021
US

IV. Provider business mailing address

PO BOX 125
DUNCANVILLE AL
35456-0125
US

V. Phone/Fax

Practice location:
  • Phone: 120-545-4884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. RACHEL ALLGOOD
Title or Position: OWNER
Credential: LPC
Phone: 205-523-4893