Provider Demographics
NPI:1093696379
Name:RHODES, EMILY MARIE (LCPC-C)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:MARIE
Last Name:RHODES
Suffix:
Gender:X
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MAY ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6416
Mailing Address - Country:US
Mailing Address - Phone:207-307-7704
Mailing Address - Fax:
Practice Address - Street 1:9 MAY ST STE 3
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6416
Practice Address - Country:US
Practice Address - Phone:207-307-7704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL7305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional