Provider Demographics
NPI:1962458703
Name:RHODES, JOY DANIELLE (LMHC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:DANIELLE
Last Name:RHODES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1194 N COUNTY ROAD 315
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:FL
Mailing Address - Zip Code:32666-3326
Mailing Address - Country:US
Mailing Address - Phone:352-226-4421
Mailing Address - Fax:
Practice Address - Street 1:1194 N COUNTY ROAD 315
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:FL
Practice Address - Zip Code:32666-3326
Practice Address - Country:US
Practice Address - Phone:352-226-4421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7174101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL76507440Medicaid