Provider Demographics
NPI:1366718157
Name:PATRICK, RHONDA GENAE (LCSW-S, PHD)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:GENAE
Last Name:PATRICK
Suffix:
Gender:F
Credentials:LCSW-S, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 GATTIS SCHOOL RD
Mailing Address - Street 2:STE 455
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2969
Mailing Address - Country:US
Mailing Address - Phone:713-397-9098
Mailing Address - Fax:
Practice Address - Street 1:2631 GATTIS SCHOOL RD STE 440
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2822
Practice Address - Country:US
Practice Address - Phone:512-368-2809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX266441041C0700X, 101YA0400X, 101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX26644OtherSOCIAL WORK LICENSE