Provider Information for 1578114005
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
RACHEL LYNN STUART LPC
Sex: Female
NPI: 1578114005
Last Updated: 2019-09-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1578114005 | ||||||||||||||
| Enumeration Date | 2019-09-25 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 1040 WHITWORTH ST JACKSON, MS 39202-2745 United States Phone: 601-988-7609 | Fax: | ||||||||||||||
| Primary Practice Address | 1040 WHITWORTH ST JACKSON, MS 39202-2745 United States Phone: 601-988-7609 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|