Provider Demographics
NPI:1578737904
Name:BENT, RHONDA ARMON (MSC, LPTC, CSAC)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:ARMON
Last Name:BENT
Suffix:
Gender:F
Credentials:MSC, LPTC, CSAC
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:SHEIRE
Other - Last Name:ARMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LPTC,CSAC
Mailing Address - Street 1:2821 N VEL R PHILLIPS AVE STE 131
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2370
Mailing Address - Country:US
Mailing Address - Phone:414-241-9055
Mailing Address - Fax:
Practice Address - Street 1:2821 N VEL R PHILLIPS AVE STE 131
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2370
Practice Address - Country:US
Practice Address - Phone:414-241-9055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15285-132101YA0400X
WI411791101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41160300Medicaid