Provider Demographics
NPI:1982590865
Name:CARPENTER, RACHEL ANDREA (LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANDREA
Last Name:CARPENTER
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 1:444 FIELDS TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:PINCKARD
Mailing Address - State:AL
Mailing Address - Zip Code:36350-3168
Mailing Address - Country:US
Mailing Address - Phone:334-796-2620
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 7
Practice Address - Street 2:
Practice Address - City:PINCKARD
Practice Address - State:AL
Practice Address - Zip Code:36371-0007
Practice Address - Country:US
Practice Address - Phone:334-796-2620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
AL05621101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health