Provider Demographics
NPI:1265783500
Name:SINGLETARY-MENTOS, RHYSHONDA DENISE
Entity type:Individual
Prefix:MRS
First Name:RHYSHONDA
Middle Name:DENISE
Last Name:SINGLETARY-MENTOS
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 1:97 BALLOU AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4107
Mailing Address - Country:US
Mailing Address - Phone:617-504-2159
Mailing Address - Fax:
Practice Address - Street 1:97 BALLOU AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-4107
Practice Address - Country:US
Practice Address - Phone:617-504-2159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor