Provider Demographics
NPI:1669827226
Name:HARRIS, RHONDA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:K
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:116 BURNSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TALLULAH
Mailing Address - State:LA
Mailing Address - Zip Code:71282-5506
Mailing Address - Country:US
Mailing Address - Phone:318-341-8558
Mailing Address - Fax:318-574-4438
Practice Address - Street 1:116 BURNSIDE DR
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-5506
Practice Address - Country:US
Practice Address - Phone:318-341-8558
Practice Address - Fax:318-574-4438
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2930101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional