Provider Demographics
NPI:1225810781
Name:RHINE, TAYLA (LPC)
Entity Type:Individual
Prefix:DR
First Name:TAYLA
Middle Name:
Last Name:RHINE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:TAYLA
Other - Middle Name:
Other - Last Name:DANDAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1716 ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-4927
Mailing Address - Country:US
Mailing Address - Phone:240-455-2085
Mailing Address - Fax:
Practice Address - Street 1:1716 ROSE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-4927
Practice Address - Country:US
Practice Address - Phone:240-455-2085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012942101YM0800X, 101YP2500X
TX94521101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health