Provider Demographics
NPI:1972884294
Name:WHITWORTH, RACHAEL (MA)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:WHITWORTH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BLOCKHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE COMPTON
Mailing Address - State:RI
Mailing Address - Zip Code:02837-1203
Mailing Address - Country:US
Mailing Address - Phone:678-923-1130
Mailing Address - Fax:
Practice Address - Street 1:26 BLOCKHOUSE LN
Practice Address - Street 2:
Practice Address - City:LITTLE COMPTON
Practice Address - State:RI
Practice Address - Zip Code:02837-1203
Practice Address - Country:US
Practice Address - Phone:678-923-1130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor