Provider Demographics
NPI:1467274282
Name:NEAVEILL, RACHEL REYNAE
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:REYNAE
Last Name:NEAVEILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 HIGHWAY 69 BLVD
Mailing Address - Street 2:
Mailing Address - City:TRUMANN
Mailing Address - State:AR
Mailing Address - Zip Code:72472-2144
Mailing Address - Country:US
Mailing Address - Phone:870-636-6233
Mailing Address - Fax:
Practice Address - Street 1:1301 HIGHWAY 69 BLVD
Practice Address - Street 2:
Practice Address - City:TRUMANN
Practice Address - State:AR
Practice Address - Zip Code:72472-2144
Practice Address - Country:US
Practice Address - Phone:870-636-6233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator