Provider Demographics
NPI:1720489800
Name:INGRAM, RHONDA M (LPC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:M
Last Name:INGRAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:MICHELLE
Other - Last Name:INGRAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MDIV, LPC
Mailing Address - Street 1:10800 FINANCIAL CENTRE PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3552
Mailing Address - Country:US
Mailing Address - Phone:501-781-2230
Mailing Address - Fax:888-816-7916
Practice Address - Street 1:10800 FINANCIAL CENTRE PKWY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211
Practice Address - Country:US
Practice Address - Phone:501-781-2230
Practice Address - Fax:888-816-7916
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1505040101YP2500X
ARA1407098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1720489800OtherLICENSED PROFESSIONAL COUNSELOR
ARP1505040OtherLICENSED PROFESSIONAL COUNSELOR (LPC)