Provider Demographics
NPI:1710038211
Name:GEORGE, RHONDA EVETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:EVETTE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:EVETTE
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4606 CENTERVIEW
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1214
Mailing Address - Country:US
Mailing Address - Phone:210-737-2674
Mailing Address - Fax:210-734-2412
Practice Address - Street 1:4606 CENTERVIEW
Practice Address - Street 2:SUITE 225
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1214
Practice Address - Country:US
Practice Address - Phone:210-737-2674
Practice Address - Fax:210-734-2412
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23472104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker