Provider Demographics
NPI:1588413819
Name:RHODES BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:RHODES BEHAVIORAL HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:ROSSI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW LADC
Authorized Official - Phone:802-321-8551
Mailing Address - Street 1:PO BOX 4232
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35815-4232
Mailing Address - Country:US
Mailing Address - Phone:802-321-8551
Mailing Address - Fax:
Practice Address - Street 1:2618 EXCALIBUR DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-1928
Practice Address - Country:US
Practice Address - Phone:802-321-8551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty