Provider Demographics
NPI:1639486582
Name:RHOADS, EMILY ELLISON (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ELLISON
Last Name:RHOADS
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 POPLAR CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-3537
Mailing Address - Country:US
Mailing Address - Phone:731-336-2324
Mailing Address - Fax:
Practice Address - Street 1:1310 POPLAR CT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3537
Practice Address - Country:US
Practice Address - Phone:731-336-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6437101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional