Provider Demographics
NPI:1447835293
Name:BECKWITH, RACKELL NICOLA (LPC, CCTP-II)
Entity type:Individual
Prefix:MRS
First Name:RACKELL
Middle Name:NICOLA
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:LPC, CCTP-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 DICKS HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-3720
Mailing Address - Country:US
Mailing Address - Phone:540-327-4840
Mailing Address - Fax:
Practice Address - Street 1:134 W PICCADILLY ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3916
Practice Address - Country:US
Practice Address - Phone:540-327-4840
Practice Address - Fax:540-667-1394
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional