Provider Demographics
NPI:1568519700
Name:HALBERT-RHEA, LINDA KAY (PHD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:HALBERT-RHEA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 HAZELNUT CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-3132
Mailing Address - Country:US
Mailing Address - Phone:662-889-2067
Mailing Address - Fax:186-654-2820
Practice Address - Street 1:402 WILKINS WISE RD STE 27
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1716
Practice Address - Country:US
Practice Address - Phone:662-889-2067
Practice Address - Fax:186-654-2820
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS874101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health