person
Ms. Rachel Lacy Wall, LPC,MED
School Counselor in Gulfport, Mississippi
NPI 1548280191

Rachel Lacy Wall is a School Counselor based in Gulfport, MS and is specialized in School. Rachel Lacy Wall practices in Gulfport, MS and has the professional credentials of LPC,MED. The NPI Number for Rachel Lacy Wall is 1548280191 and holds a License No. 816 (Mississippi).

The current practice location address for Rachel Lacy Wall is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132 and via fax at 228-865-1700. You can also correspond with Rachel Lacy Wall through the mailing address at 1600 BROAD AVE, GULFPORT, MS - 39501-3603 (mailing address contact number: 228-863-1132).

Location: 1600 Broad Ave, Gulfport, MS, 39501-3603
person
Provider Profile Details
NPI Number
1548280191
Provider Name
Rachel Lacy Wall
Credential
LPC,MED
Provider Entity Type
Individual
Gender
Female
Address
1600 Broad Ave, Gulfport, MS, 39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018213 05 MS
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
816 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
816 (Mississippi)
Definition
Definition to come...
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