Provider Demographics
NPI:1942440896
Name:RHODES, GEORGE R (EDS; LPC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:R
Last Name:RHODES
Suffix:
Gender:M
Credentials:EDS; LPC
Other - Prefix:MR
Other - First Name:G.
Other - Middle Name:ROB
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDS; LPC
Mailing Address - Street 1:276 STONEHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29672-9175
Mailing Address - Country:US
Mailing Address - Phone:864-888-7491
Mailing Address - Fax:864-653-4129
Practice Address - Street 1:398 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-1432
Practice Address - Country:US
Practice Address - Phone:864-888-7491
Practice Address - Fax:864-653-4129
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2012-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3729101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor