Provider Demographics
NPI:1528197068
Name:RHODEN, LEA A (PHD, LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:LEA
Middle Name:A
Last Name:RHODEN
Suffix:
Gender:F
Credentials:PHD, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 MEADOWS DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4258
Mailing Address - Country:US
Mailing Address - Phone:512-248-8877
Mailing Address - Fax:512-248-2877
Practice Address - Street 1:1050 MEADOWS DR
Practice Address - Street 2:SUITE 306
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4258
Practice Address - Country:US
Practice Address - Phone:512-248-8877
Practice Address - Fax:512-248-2877
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional