Provider Demographics
NPI:1043581549
Name:CAREY, RHONDA (BHRS)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W SHAWNEE ST
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-3627
Mailing Address - Country:US
Mailing Address - Phone:918-207-7523
Mailing Address - Fax:
Practice Address - Street 1:321 W SHAWNEE ST
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-3627
Practice Address - Country:US
Practice Address - Phone:918-207-7523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health