Healthcare Provider Details

I. General information

NPI: 1891633533
Provider Name (Legal Business Name): RACHEL WATSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13236 N 7TH ST STE 4
PHOENIX AZ
85022-5343
US

IV. Provider business mailing address

13236 N 7TH STREET STE 4 BOX 105
PHOENIX AZ
85022
US

V. Phone/Fax

Practice location:
  • Phone: 480-779-9716
  • Fax:
Mailing address:
  • Phone: 480-779-9716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-20031
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: