Provider Demographics
NPI:1427743749
Name:HAYLES, RACHAEL MECHELLE (LPC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MECHELLE
Last Name:HAYLES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5380 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6626
Mailing Address - Country:US
Mailing Address - Phone:210-777-7457
Mailing Address - Fax:
Practice Address - Street 1:1221 BARKLEY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-4025
Practice Address - Country:US
Practice Address - Phone:210-777-7457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health