Healthcare Provider Details

I. General information

NPI: 1689586133
Provider Name (Legal Business Name): RACHEL GEORGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 GEORGE ST
BECKLEY WV
25801-2609
US

IV. Provider business mailing address

113 JULIE LN
SHADY SPRING WV
25918-1500
US

V. Phone/Fax

Practice location:
  • Phone: 681-238-6634
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: