Provider Demographics
NPI:1689704322
Name:RHEA, TERRY DOW SR (LMSW)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:DOW
Last Name:RHEA
Suffix:SR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 HIGHWAY 62 W
Mailing Address - Street 2:
Mailing Address - City:GASSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72635-8636
Mailing Address - Country:US
Mailing Address - Phone:870-435-5511
Mailing Address - Fax:870-435-5513
Practice Address - Street 1:7345 HIGHWAY 62 W
Practice Address - Street 2:
Practice Address - City:GASSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72635-8636
Practice Address - Country:US
Practice Address - Phone:870-435-5511
Practice Address - Fax:870-435-5513
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1636-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker