Provider Demographics
NPI:1285308643
Name:MAY, RACHEL SALIDA (LCSW, ASOTP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:SALIDA
Last Name:MAY
Suffix:
Gender:F
Credentials:LCSW, ASOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 BRYAN ST APT 107
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3983
Mailing Address - Country:US
Mailing Address - Phone:817-403-3049
Mailing Address - Fax:
Practice Address - Street 1:403 BRYAN ST APT 107
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3983
Practice Address - Country:US
Practice Address - Phone:817-403-3049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical