Provider Demographics
NPI:1619317179
Name:MCHENRY, RHODA
Entity Type:Individual
Prefix:
First Name:RHODA
Middle Name:
Last Name:MCHENRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 S JACKSON AVE APT 35H
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74107-1875
Mailing Address - Country:US
Mailing Address - Phone:918-313-1971
Mailing Address - Fax:
Practice Address - Street 1:1919 S JACKSON AVE APT 35H
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74107-1875
Practice Address - Country:US
Practice Address - Phone:918-313-1971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor