Provider Demographics
NPI:1669500286
Name:RHODES, LIN (MA)
Entity Type:Individual
Prefix:MS
First Name:LIN
Middle Name:
Last Name:RHODES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 E. NEW ENGLAND AVENUE
Mailing Address - Street 2:SUITES 400 AND 440
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-7008
Mailing Address - Country:US
Mailing Address - Phone:407-644-4231
Mailing Address - Fax:407-628-8996
Practice Address - Street 1:157 E. NEW ENGLAND AVENUE
Practice Address - Street 2:SUITES 400 AND 440
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7008
Practice Address - Country:US
Practice Address - Phone:407-644-4231
Practice Address - Fax:407-628-8996
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMHC1505101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health