Healthcare Provider Details

I. General information

NPI: 1598201212
Provider Name (Legal Business Name): RACHAEL L BARROW PCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 06/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 GREENWOOD LN
SPRINGBORO OH
45066-3033
US

IV. Provider business mailing address

204 COOK RD SUITE 400
LEBANON OH
45036-9600
US

V. Phone/Fax

Practice location:
  • Phone: 937-746-1154
  • Fax: 937-746-8523
Mailing address:
  • Phone: 513-228-7800
  • Fax: 513-725-2231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC-1600642
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1901100
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0275943
Identifier TypeMEDICAID
Identifier StateOH
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: