Provider Demographics
NPI:1144242504
Name:RHODES, CYNTHIA S (LCSW, RN, CAP, PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:S
Last Name:RHODES
Suffix:
Gender:F
Credentials:LCSW, RN, CAP, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 SHERIDAN ST
Mailing Address - Street 2:SUITE 175
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8802
Mailing Address - Country:US
Mailing Address - Phone:954-894-9911
Mailing Address - Fax:954-894-0868
Practice Address - Street 1:9000 SHERIDAN ST
Practice Address - Street 2:SUITE 175
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-8802
Practice Address - Country:US
Practice Address - Phone:954-894-9911
Practice Address - Fax:954-894-0868
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1849101YA0400X
FLSW00025391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8137OtherBLUE CROSS BLUE SHIELD
FLZ8137OtherBLUE CROSS BLUE SHIELD