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 1:200 E OHIO ST STE 400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-7233
Mailing Address - Country:US
Mailing Address - Phone:773-321-2842
Mailing Address - Fax:312-475-0964
Practice Address - Street 1:200 E OHIO ST STE 400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-7233
Practice Address - Country:US
Practice Address - Phone:773-321-2842
Practice Address - Fax:312-475-0964
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012368101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional