Provider Demographics
NPI:1942494257
Name:LINDSEY, RHONDA BEARD (MA, LPC, LSOTP)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:BEARD
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:MA, LPC, LSOTP
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:JEAN
Other - Last Name:BEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC, LSOTP
Mailing Address - Street 1:4060 KIMBRO LN
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77864-7079
Mailing Address - Country:US
Mailing Address - Phone:936-661-4982
Mailing Address - Fax:
Practice Address - Street 1:1021 12TH ST STE 3&5
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4635
Practice Address - Country:US
Practice Address - Phone:936-661-4982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61181101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicaid