Provider Demographics
NPI:1326830886
Name:RAWLINS, PHALECIAN (CSW)
Entity type:Individual
Prefix:
First Name:PHALECIAN
Middle Name:
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31233
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-0021
Mailing Address - Country:US
Mailing Address - Phone:931-302-4294
Mailing Address - Fax:931-302-4294
Practice Address - Street 1:212 MADISON ST STE 101A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4093
Practice Address - Country:US
Practice Address - Phone:931-302-4294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2577471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical