Healthcare Provider Details

I. General information

NPI: 1437574282
Provider Name (Legal Business Name): WINDY SATTERLEE RACHAL PH.D., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2014
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142A RUE MARGUERITE
THIBODAUX LA
70301-6738
US

IV. Provider business mailing address

142A RUE MARGUERITE
THIBODAUX LA
70301-6738
US

V. Phone/Fax

Practice location:
  • Phone: 985-625-0023
  • Fax: 985-625-0022
Mailing address:
  • Phone: 985-625-0023
  • Fax: 985-625-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5218
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: