Provider Demographics
NPI:1326039900
Name:WOLFF, RHONDA FRYE (MED, NCC LPC MHSP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:FRYE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:MED, NCC LPC MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5211 HIGHWAY 153
Mailing Address - Street 2:SUITE C
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4956
Mailing Address - Country:US
Mailing Address - Phone:423-870-0085
Mailing Address - Fax:423-870-3411
Practice Address - Street 1:5211 HIGHWAY 153
Practice Address - Street 2:SUITE C
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4956
Practice Address - Country:US
Practice Address - Phone:423-870-0085
Practice Address - Fax:423-870-3411
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001470101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional