Provider Demographics
NPI:1518538982
Name:HARKINS, RACHAEL (LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:
Last Name:HARKINS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13001 N 55TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-1224
Mailing Address - Country:US
Mailing Address - Phone:215-873-9189
Mailing Address - Fax:
Practice Address - Street 1:13001 N 55TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1224
Practice Address - Country:US
Practice Address - Phone:215-873-9189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-20468101YP2500X
COLPC.0018535101YP2500X
PAPC013413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional