Healthcare Provider Details

I. General information

NPI: 1053233239
Provider Name (Legal Business Name): RACHEL JEWELL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 SE MAYNARD RD STE 203
CARY NC
27511-6946
US

IV. Provider business mailing address

202 DOWNING FOREST PL
CARY NC
27519-5632
US

V. Phone/Fax

Practice location:
  • Phone: 919-636-0762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: