Provider Demographics
NPI:1679849921
Name:BANKHEAD, RASHEEDAH ATIYAH (MS, PCMHT)
Entity Type:Individual
Prefix:MS
First Name:RASHEEDAH
Middle Name:ATIYAH
Last Name:BANKHEAD
Suffix:
Gender:F
Credentials:MS, PCMHT
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Other - First Name:
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Mailing Address - Street 1:1032 STATE HWY 50 W
Mailing Address - Street 2:P O BOX 1336
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773
Mailing Address - Country:US
Mailing Address - Phone:662-524-4347
Mailing Address - Fax:662-524-4364
Practice Address - Street 1:43 DR MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:MS
Practice Address - Zip Code:39341-2734
Practice Address - Country:US
Practice Address - Phone:662-726-5042
Practice Address - Fax:662-726-5009
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health