Provider Demographics
NPI:1417150830
Name:SWORD, RACHEL BETH (LPC-S, NCC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:BETH
Last Name:SWORD
Suffix:
Gender:F
Credentials:LPC-S, NCC
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:BETH
Other - Last Name:TOLLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2530 SAM HOUSTON DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-7200
Mailing Address - Country:US
Mailing Address - Phone:361-247-0428
Mailing Address - Fax:
Practice Address - Street 1:401 CHERRY HILL BLVD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1911
Practice Address - Country:US
Practice Address - Phone:267-538-1344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72715101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X, 101YP2500X
NC6840101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103799Medicaid