Provider Demographics
NPI:1063099836
Name:RHODES, FARRAH (MS, LPC-A)
Entity type:Individual
Prefix:MRS
First Name:FARRAH
Middle Name:
Last Name:RHODES
Suffix:
Gender:F
Credentials:MS, LPC-A
Other - Prefix:
Other - First Name:FARRAH
Other - Middle Name:
Other - Last Name:BONNOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LPC-A
Mailing Address - Street 1:2122 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2269
Mailing Address - Country:US
Mailing Address - Phone:214-226-0103
Mailing Address - Fax:
Practice Address - Street 1:2122 MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-2269
Practice Address - Country:US
Practice Address - Phone:214-226-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health