Provider Demographics
NPI:1952415523
Name:RANKIN, TRUDY CORRY (LMHC EDD)
Entity type:Individual
Prefix:DR
First Name:TRUDY
Middle Name:CORRY
Last Name:RANKIN
Suffix:
Gender:F
Credentials:LMHC EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E BAY STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803
Mailing Address - Country:US
Mailing Address - Phone:863-682-2810
Mailing Address - Fax:
Practice Address - Street 1:215 E BAY STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803
Practice Address - Country:US
Practice Address - Phone:863-682-2810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC0000914101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor