Provider Demographics
NPI:1215262340
Name:ROHDE, SYLVIA (LPC)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:ROHDE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 451001
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75045-1001
Mailing Address - Country:US
Mailing Address - Phone:972-398-7533
Mailing Address - Fax:
Practice Address - Street 1:1801 W PLANO PKWY
Practice Address - Street 2:SUITE E233N
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8620
Practice Address - Country:US
Practice Address - Phone:972-398-7533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13833101Y00000X, 101YM0800X, 101YP2500X, 102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0273518-01Medicaid