Individual provider · NPI-1

Rheanna Archer, LCSW

Social Worker, Clinical · Lubbock, TX

NPI number1366158263
StatusActive
Last updated in NPPESDec 14, 2023

Details

NPI
1366158263
Entity type
Individual (NPI-1)
Name
Rheanna Archer
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2023
Certification date
Dec 14, 2023
Last updated
Dec 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical67822TXYes

Other names

  • Rheanna Blankenship (Former Name)

Practice location

3510 4th St
Lubbock, TX 79415-3329

Phone 806-472-3400

Mailing address

3510 4th St
Lubbock, TX 79415-3329

Phone 806-472-3400

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