Provider Demographics
NPI:1952131898
Name:HIGHSMITH, RODNEY ELIJAH (LMHC)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:ELIJAH
Last Name:HIGHSMITH
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-1912
Mailing Address - Country:US
Mailing Address - Phone:516-532-0769
Mailing Address - Fax:
Practice Address - Street 1:4 ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-1912
Practice Address - Country:US
Practice Address - Phone:516-234-5064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health