Provider Demographics
NPI:1851685945
Name:RHODES-HUGHES, HEATHER ALETHEA (LPE-I)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:ALETHEA
Last Name:RHODES-HUGHES
Suffix:
Gender:F
Credentials:LPE-I
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ALETHEA
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4505 TANYA CIR
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72802-8559
Mailing Address - Country:US
Mailing Address - Phone:479-886-2652
Mailing Address - Fax:
Practice Address - Street 1:4505 TANYA CIR
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72802-8559
Practice Address - Country:US
Practice Address - Phone:479-886-2652
Practice Address - Fax:479-498-4904
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR13-04EI103T00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist