Provider Demographics
NPI:1760205785
Name:BARRY, RACHEL SAUNDERS (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:SAUNDERS
Last Name:BARRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 LAWRENCE ST NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-2056
Mailing Address - Country:US
Mailing Address - Phone:404-308-5867
Mailing Address - Fax:
Practice Address - Street 1:321 LAWRENCE ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2056
Practice Address - Country:US
Practice Address - Phone:404-308-5867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0063481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical