Provider Demographics
NPI:1629576103
Name:BEGLEY, RHONDA DAWN (LPCC, TCADC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:DAWN
Last Name:BEGLEY
Suffix:
Gender:F
Credentials:LPCC, TCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10150 NEW COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-9187
Mailing Address - Country:US
Mailing Address - Phone:270-250-2075
Mailing Address - Fax:
Practice Address - Street 1:703 E STEVE WARINER DR
Practice Address - Street 2:
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642-4233
Practice Address - Country:US
Practice Address - Phone:502-373-0117
Practice Address - Fax:270-866-4022
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-30
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174833101YA0400X
KY175282101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)