Provider Demographics
NPI:1245092675
Name:RHYINS, SOPHIA L
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:L
Last Name:RHYINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEETINGHOUSE TER
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-5117
Mailing Address - Country:US
Mailing Address - Phone:203-942-9025
Mailing Address - Fax:
Practice Address - Street 1:35 COPPS HILL RD STE 6
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4041
Practice Address - Country:US
Practice Address - Phone:203-978-3177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician