Provider Demographics
NPI:1033460266
Name:HANKERSON, RONCHELLA (BS)
Entity Type:Individual
Prefix:
First Name:RONCHELLA
Middle Name:
Last Name:HANKERSON
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:RONCHELLA
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26161 SW 132 PLACE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032
Mailing Address - Country:US
Mailing Address - Phone:786-222-2354
Mailing Address - Fax:786-779-9601
Practice Address - Street 1:155 SOUTH MIAMI AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130
Practice Address - Country:US
Practice Address - Phone:305-779-9600
Practice Address - Fax:305-779-9600
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker