Hagood, Rhanda

Hagood, Rhanda is an sole proprietor health care provider with primary practice located at 711 N Beaver St , Flagstaff AZ 86001-3103. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hagood, Rhanda can be contacted via phone (928) 779-3783.

Contact Information

Primary practice address
711 N Beaver St Flagstaff AZ 86001-3103
Fax: (928) 773-1140
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-13197 Arizona

Profile Details

NPI number 1366408619
LBN Legal business name Hagood, Rhanda
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Oct 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366408619 NPPES
Arizona MEDICAID 465504

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