Provider Demographics
NPI:1265598478
Name:RHOADES, CASSY LYNN (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:CASSY
Middle Name:LYNN
Last Name:RHOADES
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:CASANDA
Other - Middle Name:LYNN
Other - Last Name:COCHRANE-RHOADES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:PO BOX 16
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75671-0016
Mailing Address - Country:US
Mailing Address - Phone:903-938-3160
Mailing Address - Fax:903-938-7180
Practice Address - Street 1:201 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-3230
Practice Address - Country:US
Practice Address - Phone:903-938-3160
Practice Address - Fax:903-938-7180
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX16259101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional