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MS. RAE LYNN NETTLES LPC MFT NPI 1205845294


NPI Information

NPI: 1205845294
Provider Name: MS. RAE LYNN NETTLES, LPC, MFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
7505 WATERS AVE
D-5
SAVANNAH, GA
ZIP 31406
Phone: (912) 656-4227
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MS. Rae Lynn Nettles, LPC, MFT is a marriage family therapist in Savannah, GA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MS. Rae Lynn Nettles, LPC, MFT NPI is 1205845294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7505 WATERS AVE
D-5
SAVANNAH, GA
ZIP 31406-825
Phone: (912) 656-4227
Fax: (912) 257-4407

The enumeration date for this NPI number is 8/7/2006 and was last updated on 8/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional002975GEORGIANo
2106H00000XMarriage & Family Therapist001054GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1451297230AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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