Provider Demographics
NPI:1154974236
Name:RHOADES, DANELLE RENE (LCPC)
Entity type:Individual
Prefix:
First Name:DANELLE
Middle Name:RENE
Last Name:RHOADES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 N KINGSBURY ST STE 303
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-2687
Mailing Address - Country:US
Mailing Address - Phone:312-809-0298
Mailing Address - Fax:866-687-0879
Practice Address - Street 1:1333 N KINGSBURY ST STE 303
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-2687
Practice Address - Country:US
Practice Address - Phone:312-809-0298
Practice Address - Fax:866-687-0879
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012368101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional