Provider Demographics
NPI:1699154666
Name:RHODAN, PERLINDA (LPC)
Entity type:Individual
Prefix:
First Name:PERLINDA
Middle Name:
Last Name:RHODAN
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 1:852 CARTWRIGHT DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5130
Mailing Address - Country:US
Mailing Address - Phone:843-670-2143
Mailing Address - Fax:
Practice Address - Street 1:846 DUPONT RD
Practice Address - Street 2:STE. D
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-1720
Practice Address - Country:US
Practice Address - Phone:843-556-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-24
Last Update Date:2015-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional