Provider Demographics
NPI:1841280393
Name:MELTZER, RACHEL LEE (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LEE
Last Name:MELTZER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 ABRAMS RD,
Mailing Address - Street 2:SUITE 325
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5579
Mailing Address - Country:US
Mailing Address - Phone:972-638-7199
Mailing Address - Fax:214-593-4786
Practice Address - Street 1:1221 ABRAMS RD
Practice Address - Street 2:SUITE 325
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5579
Practice Address - Country:US
Practice Address - Phone:972-638-7199
Practice Address - Fax:214-593-4786
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15900101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83315LOtherBLUE CROSS BLUE SHIELD
TX028358201Medicaid