Provider Demographics
NPI:1922280049
Name:RHOADES, RHONDA RAYLEEN (MA, LMHC, CTMH)
Entity Type:Individual
Prefix:MISS
First Name:RHONDA
Middle Name:RAYLEEN
Last Name:RHOADES
Suffix:
Gender:F
Credentials:MA, LMHC, CTMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 E MAIN STE 458
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-6780
Mailing Address - Country:US
Mailing Address - Phone:253-525-2784
Mailing Address - Fax:
Practice Address - Street 1:1011 E MAIN STE 305
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-6775
Practice Address - Country:US
Practice Address - Phone:253-525-2784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60904179101YM0800X
WALH61235431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health