Provider Demographics
NPI:1063789188
Name:BEAVERS-CHANDLER, RHONDA MURIEL
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:MURIEL
Last Name:BEAVERS-CHANDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3229
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24115-3229
Mailing Address - Country:US
Mailing Address - Phone:276-634-0060
Mailing Address - Fax:276-632-0680
Practice Address - Street 1:203 WITHERS CIR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-6327
Practice Address - Country:US
Practice Address - Phone:276-634-0060
Practice Address - Fax:276-632-0680
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health