Provider Demographics
NPI:1972870012
Name:RHODES, CHRISTINE N (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:N
Last Name:RHODES
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 WASHINGTON AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7470
Mailing Address - Country:US
Mailing Address - Phone:254-300-6336
Mailing Address - Fax:
Practice Address - Street 1:2509 WASHINGTON AVE STE 2
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7470
Practice Address - Country:US
Practice Address - Phone:254-300-6336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64596101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional