Provider Demographics
NPI:1336299452
Name:RHONDA AGHAYERE & ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:RHONDA AGHAYERE & ASSOCIATES, PLLC
Other - Org Name:HARTON PROFESSIONAL COUNSELING, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHAYERE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-287-0644
Mailing Address - Street 1:PO BOX 2793
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75106-2793
Mailing Address - Country:US
Mailing Address - Phone:214-287-0644
Mailing Address - Fax:972-224-7779
Practice Address - Street 1:1704 N HAMPTON RD
Practice Address - Street 2:#204
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8623
Practice Address - Country:US
Practice Address - Phone:214-287-0644
Practice Address - Fax:972-224-7779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX339131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185739301Medicaid
TX00X318Medicare PIN