Provider Demographics
NPI:1508742107
Name:HENRY, RACHEL LAUREN (SLP-A)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LAUREN
Last Name:HENRY
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13809 FM 1615
Mailing Address - Street 2:RHENRY@GREENAPPLETHERAPY.COM
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75752
Mailing Address - Country:US
Mailing Address - Phone:903-286-2353
Mailing Address - Fax:
Practice Address - Street 1:13809 FM 1615
Practice Address - Street 2:RHENRY@GREENAPPLETHERAPY.COM
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75752
Practice Address - Country:US
Practice Address - Phone:903-286-2353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX446342355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant