Healthcare Provider Details

I. General information

NPI: 1265194591
Provider Name (Legal Business Name): RACHEL HARRELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 JUNIPER DR
MURFREESBORO TN
37129-7909
US

IV. Provider business mailing address

222 JUNIPER DR
MURFREESBORO TN
37129-7909
US

V. Phone/Fax

Practice location:
  • Phone: 615-479-2683
  • Fax:
Mailing address:
  • Phone: 615-479-2683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-66116
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: