Provider Demographics
NPI:1821758780
Name:RODMAN, DARCI (BT)
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:
Last Name:RODMAN
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11941 OLD COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77378-6035
Mailing Address - Country:US
Mailing Address - Phone:832-269-8559
Mailing Address - Fax:
Practice Address - Street 1:11941 OLD COUNTY RD
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77378-6035
Practice Address - Country:US
Practice Address - Phone:832-269-8559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician