Provider Demographics
NPI:1194101576
Name:MCGUIRE, RHONDELL II (MA, LPC)
Entity type:Individual
Prefix:
First Name:RHONDELL
Middle Name:
Last Name:MCGUIRE
Suffix:II
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 FAIR VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-0143
Mailing Address - Country:US
Mailing Address - Phone:314-440-4734
Mailing Address - Fax:678-389-9029
Practice Address - Street 1:10 GLENLAKE PKWY
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3495
Practice Address - Country:US
Practice Address - Phone:314-750-3538
Practice Address - Fax:678-389-9029
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-07
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009102101YM0800X, 106H00000X, 101YP2500X
MO2013014380101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist