Provider Demographics
NPI:1457040073
Name:GOODWIN, RACHEL DELANEY (MS)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:DELANEY
Last Name:GOODWIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:DELANEY
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1627 CAPANNA TRAIL
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4681
Mailing Address - Country:US
Mailing Address - Phone:423-838-8776
Mailing Address - Fax:
Practice Address - Street 1:5819 WINDING LN
Practice Address - Street 2:#133
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3631
Practice Address - Country:US
Practice Address - Phone:423-933-2575
Practice Address - Fax:423-285-6160
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6827101YM0800X
101YM0800X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool