Provider Demographics
NPI:1720426109
Name:DENMAN, RHONDA C (LMFT)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:C
Last Name:DENMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6213 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39180-5421
Mailing Address - Country:US
Mailing Address - Phone:601-529-6007
Mailing Address - Fax:
Practice Address - Street 1:1905B MISSION 66 STE 4
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-3799
Practice Address - Country:US
Practice Address - Phone:601-529-6007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST0180106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist