Healthcare Provider Details

I. General information

NPI: 1144109901
Provider Name (Legal Business Name): RACHAEL MARIE CHIPLEY STEWART PHD, LCMHC-A
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 BURMA RD W STE B
MARION NC
28752-5583
US

IV. Provider business mailing address

80 BEAMAN RD
MARION NC
28752-9737
US

V. Phone/Fax

Practice location:
  • Phone: 828-803-0547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA21452
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: