Provider Demographics
NPI:1437586914
Name:RHODES, DALENE (LBSW)
Entity Type:Individual
Prefix:
First Name:DALENE
Middle Name:
Last Name:RHODES
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 ABRAHAM CT
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-6961
Mailing Address - Country:US
Mailing Address - Phone:469-735-2937
Mailing Address - Fax:972-408-0761
Practice Address - Street 1:509 ABRAHAM CT
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-6961
Practice Address - Country:US
Practice Address - Phone:469-735-2937
Practice Address - Fax:972-408-0761
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15612104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker