Provider Demographics
NPI:1184200297
Name:RHONDA TERESE RUSHING LLC
Entity Type:Organization
Organization Name:RHONDA TERESE RUSHING LLC
Other - Org Name:RHONDA RUSHING PMHNPBC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNPBC
Authorized Official - Phone:318-235-1451
Mailing Address - Street 1:130 S RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-7671
Mailing Address - Country:US
Mailing Address - Phone:318-235-1451
Mailing Address - Fax:
Practice Address - Street 1:1501 STUBBS AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5627
Practice Address - Country:US
Practice Address - Phone:318-816-5116
Practice Address - Fax:318-855-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)