Provider Demographics
NPI:1861983785
Name:NEUBACHER, RACHEL MARIE (MA, LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:NEUBACHER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 ENGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-8892
Mailing Address - Country:US
Mailing Address - Phone:205-310-2902
Mailing Address - Fax:
Practice Address - Street 1:2703 7TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1865
Practice Address - Country:US
Practice Address - Phone:205-579-2836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional