Provider Demographics
NPI:1508412008
Name:BENFORD-RHODES, ANTONETTE YVONNE (LMHC)
Entity Type:Individual
Prefix:
First Name:ANTONETTE
Middle Name:YVONNE
Last Name:BENFORD-RHODES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7733 PARADISE ISLAND BLVD APT 3109
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-3777
Mailing Address - Country:US
Mailing Address - Phone:904-405-2208
Mailing Address - Fax:
Practice Address - Street 1:7733 PARADISE ISLAND BLVD APT 3109
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-3777
Practice Address - Country:US
Practice Address - Phone:904-405-2208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH21987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health