Provider Demographics
NPI:1689407330
Name:TILLEY, RACHEL LYNN (LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:TILLEY
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 1:47 CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-1616
Mailing Address - Country:US
Mailing Address - Phone:814-538-0272
Mailing Address - Fax:
Practice Address - Street 1:342 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-6010
Practice Address - Country:US
Practice Address - Phone:814-226-4913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional