Healthcare Provider Details

I. General information

NPI: 1457040073
Provider Name (Legal Business Name): RACHEL DELANEY GOODWIN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. RACHEL DELANEY HARRIS

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 MCBRIEN RD
CHATTANOOGA TN
37411-4819
US

IV. Provider business mailing address

1627 CAPANNA TRL
HIXSON TN
37343-4681
US

V. Phone/Fax

Practice location:
  • Phone: 423-838-8776
  • Fax:
Mailing address:
  • Phone: 423-838-8776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6827
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: