Provider Demographics
NPI:1588359525
Name:RHODES, SHERITA LATRICE (MA, LRC, LPCC, NCC)
Entity type:Individual
Prefix:
First Name:SHERITA
Middle Name:LATRICE
Last Name:RHODES
Suffix:
Gender:F
Credentials:MA, LRC, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13405 BURROUGH FARM DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4494
Mailing Address - Country:US
Mailing Address - Phone:703-655-0804
Mailing Address - Fax:
Practice Address - Street 1:20925 PROFESSIONAL PLZ STE 230
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-3403
Practice Address - Country:US
Practice Address - Phone:703-655-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA070412917101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional