Provider Demographics
NPI:1750665659
Name:ROUSH, RHONDA MUREE (LPC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:MUREE
Last Name:ROUSH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:ZETTERHOM
Other - Last Name:ROUSH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 320961
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-0961
Mailing Address - Country:US
Mailing Address - Phone:601-278-4324
Mailing Address - Fax:
Practice Address - Street 1:534 KEYWAY DR STE A
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9591
Practice Address - Country:US
Practice Address - Phone:601-278-4324
Practice Address - Fax:601-228-0333
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1817101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional