Healthcare Provider Details

I. General information

NPI: 1356884167
Provider Name (Legal Business Name): RACHEL CLEMONS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL GREENWICH CLEMONS EDD

II. Dates (important events)

Enumeration Date: 11/28/2016
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 W CANAL ST S
BELLE GLADE FL
33430-2942
US

IV. Provider business mailing address

824 W CANAL ST S
BELLE GLADE FL
33430-2942
US

V. Phone/Fax

Practice location:
  • Phone: 561-565-0072
  • Fax: 561-855-4504
Mailing address:
  • Phone: 561-565-0072
  • Fax: 561-855-4504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14623
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: