RACHEL MICHELLE SLACK (NPI# 1356879340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356879340 |
| Entity Type | Individual |
| Full Name | RACHEL MICHELLE SLACK |
| Credential | LPC |
| Practice Address |
751 Highway 287 N Ste 103 Mansfield TX 76063-6604 |
| Practice Telephone | 2149522324 |
| Mailing Telephone | 2149522324 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
80167 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757578 | Rachel Lea Slack | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-03-31 |
| Street Address |
751 HIGHWAY 287 N STE 103 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277057 | Jessica Mae Garcia | Counselor | 751 Highway 287 N Ste 103, Mansfield, TX 76063-6604 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765734 | Katarina Alexandra Radovsky | Counselor | 792 West St Apt G106, Mansfield, MA 02048-4109 | 2020-06-22 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1669991766 | Heather Michelle Hedges | Counselor | 8 Walker Avenue South, Mansfield, OH 44905 | 2017-09-11 |
| 1972027217 | Raiyawna Gatlin | Counselor | 419 Washington Ave, Mansfield, LA 71052-3103 | 2017-07-28 |
| 1457875932 | Derrick Francis Martin | Counselor | 1601 Nantucket Dr, Mansfield, OH 44904-2147 | 2017-07-27 |
| 1134650526 | Lovia Hunter | Counselor | 317 Murphy St, Mansfield, LA 71052-4140 | 2017-03-27 |
| 1619412848 | Patricia Mcgrew | Counselor | 502 Hollyberry Dr, Mansfield, TX 76063-3640 | 2016-12-26 |
| 1205379328 | Jemartrius Mayweather | Counselor | 2179 S Washington St, Mansfield, LA 71052-4241 | 2016-11-21 |
| Find all providers in MANSFIELD | ||||
Please comment or provide details below to improve the information on RACHEL MICHELLE SLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.