Provider Demographics
NPI:1699229534
Name:RHODES, HOUSTON DANIEL TRUSCOTT (LCAS, LCHMC, CCS)
Entity Type:Individual
Prefix:MR
First Name:HOUSTON
Middle Name:DANIEL TRUSCOTT
Last Name:RHODES
Suffix:
Gender:M
Credentials:LCAS, LCHMC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 QUEENS KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-5174
Mailing Address - Country:US
Mailing Address - Phone:574-904-7910
Mailing Address - Fax:
Practice Address - Street 1:101 QUEENS KNOLL CT
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5174
Practice Address - Country:US
Practice Address - Phone:574-904-7910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCMHC-12557101YM0800X
NCLCAS-22586101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health