Provider Demographics
NPI:1225802994
Name:HODNETT, RHENDA (PHD, LCSW)
Entity Type:Individual
Prefix:
First Name:RHENDA
Middle Name:
Last Name:HODNETT
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42334 JAMIE RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-6217
Mailing Address - Country:US
Mailing Address - Phone:225-715-4177
Mailing Address - Fax:
Practice Address - Street 1:302 TCHEFUNCTE OAKS
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1556
Practice Address - Country:US
Practice Address - Phone:225-715-4177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA72681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical