Healthcare Provider Details

I. General information

NPI: 1497994875
Provider Name (Legal Business Name): RACHEL ELIZABETH HENDERSON LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2009
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 NEW LEICESTER HWY
ASHEVILLE NC
28806-2021
US

IV. Provider business mailing address

3708 BELLEVUE RD
HAUGHTON LA
71037-8372
US

V. Phone/Fax

Practice location:
  • Phone: 828-232-8934
  • Fax: 828-232-8935
Mailing address:
  • Phone: 318-773-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15475
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8386
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15475
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: