Provider Demographics
NPI:1750516431
Name:CULBREATH, RACHEL LEA MARCUS (LMHC)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LEA MARCUS
Last Name:CULBREATH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:LEA
Other - Last Name:MARCUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:730 S STERLING AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4542
Mailing Address - Country:US
Mailing Address - Phone:813-876-5348
Mailing Address - Fax:
Practice Address - Street 1:730 S STERLING AVE STE 105
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4542
Practice Address - Country:US
Practice Address - Phone:813-876-5348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-24
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health