Healthcare Provider Details

I. General information

NPI: 1588016893
Provider Name (Legal Business Name): RACHEL MCCLAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHE4L ROBINSON

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 6621
MOORE OK
73153-0621
US

IV. Provider business mailing address

PO BOX 6621
MOORE OK
73153-0621
US

V. Phone/Fax

Practice location:
  • Phone: 405-259-6089
  • Fax:
Mailing address:
  • Phone: 405-259-6089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6707
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number011925
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0011306
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: