Provider Demographics
NPI:1194499228
Name:ZACHRY, RACHEL J (MENTAL HEALTH SPECIA)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:J
Last Name:ZACHRY
Suffix:
Gender:F
Credentials:MENTAL HEALTH SPECIA
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:J
Other - Last Name:ZACHRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHD
Mailing Address - Street 1:5630 CROWDER BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2444
Mailing Address - Country:US
Mailing Address - Phone:214-226-0211
Mailing Address - Fax:
Practice Address - Street 1:5630 CROWDER BLVD STE 208
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-2444
Practice Address - Country:US
Practice Address - Phone:214-226-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator