Provider Demographics
NPI:1558411785
Name:HORTON, RHONDA JEAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:JEAN
Last Name:HORTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 N GUN BARREL LN
Mailing Address - Street 2:
Mailing Address - City:GUN BARREL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75156
Mailing Address - Country:US
Mailing Address - Phone:903-887-3123
Mailing Address - Fax:972-278-4802
Practice Address - Street 1:629 W CENTERVILLE
Practice Address - Street 2:#205
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041
Practice Address - Country:US
Practice Address - Phone:214-538-7099
Practice Address - Fax:972-278-4802
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX13000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3310LCMedicare ID - Type Unspecified