Provider Demographics
NPI:1194427542
Name:ARMSTER, RHONDA JEAN
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:JEAN
Last Name:ARMSTER
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 1:2100 E BROAD ST APT 2212
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4756
Mailing Address - Country:US
Mailing Address - Phone:817-863-3688
Mailing Address - Fax:
Practice Address - Street 1:2100 E BROAD ST APT 2212
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4756
Practice Address - Country:US
Practice Address - Phone:817-863-3688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBACB843269106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician