Provider Demographics
NPI:1265732689
Name:ATKINS, RHONDA MAE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:MAE
Last Name:ATKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:MAE
Other - Last Name:MULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 TREEANN LN
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-4668
Mailing Address - Country:US
Mailing Address - Phone:706-937-2174
Mailing Address - Fax:
Practice Address - Street 1:100 TREEANN LN
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-4668
Practice Address - Country:US
Practice Address - Phone:706-937-2174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005167104100000X
TN53061041C0700X
MI68010858861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker