RACHEL SHAW-WILSON NPI 1962717959

NPI Information

NPI: 1962717959
Provider Name: RACHEL SHAW-WILSON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1225 W BEAVER ST
SUITE 210
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 712-3540
Get Directions

Rachel Shaw-wilson is an addiction (substance use disorder) counselor in Jacksonville, FL. Rachel Shaw-wilson NPI is 1962717959. 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:

1225 W BEAVER ST
SUITE 210
JACKSONVILLE, FL
ZIP 32204-414
Phone: (904) 712-3540
Fax: (904) 775-3570

The enumeration date for this NPI number is 8/13/2010 and was last updated on 12/12/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes
2	106H00000X	Marriage & Family Therapist		No
3	171M00000X	Case Manager/Care Coordinator		No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016986100	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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