Provider Demographics
NPI:1184706178
Name:RHODES, WAYNE (LPC)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:RHODES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5312
Mailing Address - Country:US
Mailing Address - Phone:256-766-4441
Mailing Address - Fax:256-766-4464
Practice Address - Street 1:530 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5312
Practice Address - Country:US
Practice Address - Phone:256-766-4441
Practice Address - Fax:256-766-4464
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1290101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional