Provider Demographics
NPI:1083413959
Name:SHUBERT, RACHAEL MACKENZIE
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MACKENZIE
Last Name:SHUBERT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 FAIR FRIEND CIR APT 306C
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-2360
Mailing Address - Country:US
Mailing Address - Phone:704-450-5964
Mailing Address - Fax:
Practice Address - Street 1:160 FAIR FRIEND CIR APT 306C
Practice Address - Street 2:
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723-2360
Practice Address - Country:US
Practice Address - Phone:704-450-5964
Practice Address - Fax:704-450-5964
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician