Provider Demographics
NPI:1740091206
Name:HOOVER, RHONDA LEANNE (MS)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:LEANNE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:LEANNE
Other - Last Name:GONZALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:560 MOGOLLON CIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1269
Mailing Address - Country:US
Mailing Address - Phone:915-258-6586
Mailing Address - Fax:
Practice Address - Street 1:2941 LOS AMIGOS CT
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4836
Practice Address - Country:US
Practice Address - Phone:575-221-0386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2024-0810101YA0400X
TX17136101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)