Provider Demographics
NPI:1487865101
Name:RHODEN-MCAFEE, MAKESHIA (MS, PCMHT)
Entity Type:Individual
Prefix:MRS
First Name:MAKESHIA
Middle Name:
Last Name:RHODEN-MCAFEE
Suffix:
Gender:F
Credentials:MS, PCMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10019 BAPTIST GROVE RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE
Mailing Address - State:MS
Mailing Address - Zip Code:39756-9719
Mailing Address - Country:US
Mailing Address - Phone:601-504-5036
Mailing Address - Fax:
Practice Address - Street 1:152 HIGHWAY 7 S
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5392
Practice Address - Country:US
Practice Address - Phone:662-234-7521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1487865101Medicaid