Provider Demographics
NPI:1033356456
Name:MILLER, RHONDA SMITH (LPC)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:SMITH
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 12TH ST
Mailing Address - Street 2:SUITE 911-F
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2462
Mailing Address - Country:US
Mailing Address - Phone:706-325-0378
Mailing Address - Fax:888-504-4132
Practice Address - Street 1:233 12TH ST
Practice Address - Street 2:SUITE 911-F
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2462
Practice Address - Country:US
Practice Address - Phone:706-325-0378
Practice Address - Fax:888-504-4132
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005394101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA208139906OtherTAX IDENTIFICATION NUMBER