Provider Demographics
NPI:1366566648
Name:RHODES, JAMES DEVERS (LPC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DEVERS
Last Name:RHODES
Suffix:
Gender:M
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 5040
Mailing Address - Street 2:
Mailing Address - City:CAMP VERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78010-5040
Mailing Address - Country:US
Mailing Address - Phone:830-634-2552
Mailing Address - Fax:830-792-6406
Practice Address - Street 1:500 MAIN ST
Practice Address - Street 2:SUITE L
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5380
Practice Address - Country:US
Practice Address - Phone:830-896-7370
Practice Address - Fax:830-792-6406
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1199101YA0400X
TX11514101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2447LCOtherBC BS