Healthcare Provider Details

I. General information

NPI: 1841585957
Provider Name (Legal Business Name): RACHEL D. BURROWS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 E CHESTNUT ST
AUGUSTA ME
04330-5758
US

IV. Provider business mailing address

6 E CHESTNUT ST
AUGUSTA ME
04330-5758
US

V. Phone/Fax

Practice location:
  • Phone: 207-623-6500
  • Fax: 207-621-5504
Mailing address:
  • Phone: 207-623-6500
  • Fax: 207-621-5504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS1439
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: