MEDICARE: RACHEL STYERS LPC-MHSP (TEMP)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	5408	TN

General Provider Information

NPI Number	:	1932869542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL STYERS LPC-MHSP (TEMP)

Provider Business Mailing Address
First Line	:	1604 LETHIA DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-1011
Country	:	US
Telephone Number	:	615-838-7419
Fax Number	:

Provider Business Practice Location Address
First Line	:	2818 AZALEA PL
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3118
Country	:	US
Telephone Number	:	615-499-3062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2021
Last Update Date	:	12/22/2021

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Directions to “ RACHEL STYERS LPC-MHSP (TEMP)” Practice Location

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