Healthcare Provider Details

I. General information

NPI: 1003146234
Provider Name (Legal Business Name): RACHEL OFFINEER ROBERTS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL C. OFFINEER

II. Dates (important events)

Enumeration Date: 01/11/2010
Last Update Date: 11/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10511 GOLF COURSE RD NW SUITE 102
ALBUQUERQUE NM
87114
US

IV. Provider business mailing address

10511 GOLF COURSE RD NW SUITE 102
ALBUQUERQUE NM
87114
US

V. Phone/Fax

Practice location:
  • Phone: 505-717-1155
  • Fax: 505-717-1473
Mailing address:
  • Phone: 505-717-1155
  • Fax: 505-717-1473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberT-0143151
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: