Doctor Name: | MS. MICHELLE G RHODES |
NPI Number: | 1174615546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, ATR-BC, NCPSYA |
License Number: | 077619 |
Business Practice Address: | 180 Phillies Bridge Rd New Paltz, NY - 125612627 |
Business Phone Number: | 8452558039 |
Business Fax Number: | 8452558039 |
Mailing Address: | Po Box 233, GARDINER |
State: | NY |
Postal Code: | 125250233 |
Phone Number: | 8452558039 |
Fax Number: | 8452558039 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 06/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 077619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |