Doctor Name: | MARK A RHODES |
NPI Number: | 1750468385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 17947 |
Business Practice Address: | 6210 John Ryan Dr Ste 106 Fort Worth, TX - 761324113 |
Business Phone Number: | 8173617201 |
Business Fax Number: | 8173617521 |
Mailing Address: | Po Box 99213, FORT WORTH |
State: | TX |
Postal Code: | 761990213 |
Phone Number: | 6828854433 |
Fax Number: | 6828853939 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 03/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 17947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |