Provider Demographics
NPI:1639692825
Name:EBERHARD, RHONDA R (LCSW)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:R
Last Name:EBERHARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1974 ADDINGTON TRL NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-7161
Mailing Address - Country:US
Mailing Address - Phone:404-402-6883
Mailing Address - Fax:
Practice Address - Street 1:4075 MACLAND RD
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-1504
Practice Address - Country:US
Practice Address - Phone:404-402-6883
Practice Address - Fax:404-402-6883
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0060471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical