Provider Demographics
NPI:1053945329
Name:MCKAY, RACHEL E (LISW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:MCKAY
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 N CRESCENT AVE
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-2110
Mailing Address - Country:US
Mailing Address - Phone:859-640-9631
Mailing Address - Fax:
Practice Address - Street 1:18 N CRESCENT AVE
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-2110
Practice Address - Country:US
Practice Address - Phone:859-640-9631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health