Provider Demographics
NPI:1457040073
Name:HARRIS, RACHEL DELANEY (MS)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DELANEY
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5713 SUNDOWN CT
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-4322
Mailing Address - Country:US
Mailing Address - Phone:423-838-8776
Mailing Address - Fax:
Practice Address - Street 1:5713 SUNDOWN CT
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-4322
Practice Address - Country:US
Practice Address - Phone:423-838-8776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool