Provider Demographics
NPI:1861061483
Name:RACHAEL NACHTIGAL, PLLC
Entity type:Organization
Organization Name:RACHAEL NACHTIGAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NACHTIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:501-607-0436
Mailing Address - Street 1:716 S MAXWELL ST
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-3658
Mailing Address - Country:US
Mailing Address - Phone:501-607-0436
Mailing Address - Fax:
Practice Address - Street 1:716 S MAXWELL ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-3658
Practice Address - Country:US
Practice Address - Phone:501-607-0436
Practice Address - Fax:479-439-8466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)