Provider Demographics
NPI:1982995106
Name:CHARMAINE RHODES
Entity Type:Organization
Organization Name:CHARMAINE RHODES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:REENADA
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-314-2901
Mailing Address - Street 1:3040 WALNUT CREEK PKWY APT G
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-3804
Mailing Address - Country:US
Mailing Address - Phone:336-314-2901
Mailing Address - Fax:
Practice Address - Street 1:3040 WALNUT CREEK PKWY APT G
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3804
Practice Address - Country:US
Practice Address - Phone:336-314-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital