Provider Demographics
NPI:1043725351
Name:PIPKIN, RHONDA LYNNE (LPC, MA, PSYD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LYNNE
Last Name:PIPKIN
Suffix:
Gender:F
Credentials:LPC, MA, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 WESTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CISCO
Mailing Address - State:TX
Mailing Address - Zip Code:76437-3209
Mailing Address - Country:US
Mailing Address - Phone:254-631-1392
Mailing Address - Fax:
Practice Address - Street 1:1498 IH 20 W
Practice Address - Street 2:
Practice Address - City:CISCO
Practice Address - State:TX
Practice Address - Zip Code:76437
Practice Address - Country:US
Practice Address - Phone:254-442-4479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-08
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72585101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional