Provider Demographics
NPI:1649167511
Name:SULLIVAN, RHONDA KAY (PLPC)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:KAY
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 511
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:MO
Mailing Address - Zip Code:65548-0511
Mailing Address - Country:US
Mailing Address - Phone:417-247-7842
Mailing Address - Fax:
Practice Address - Street 1:412 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-3432
Practice Address - Country:US
Practice Address - Phone:417-501-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025019781101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional