Provider Demographics
NPI:1841792256
Name:RHOADE, COLLIN (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:COLLIN
Middle Name:
Last Name:RHOADE
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8118 CORPORATE WAY STE 175
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7504
Mailing Address - Country:US
Mailing Address - Phone:513-201-5858
Mailing Address - Fax:
Practice Address - Street 1:8118 CORPORATE WAY STE 175
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7504
Practice Address - Country:US
Practice Address - Phone:513-201-5858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1800955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health