Rhodes, Mark A
Rhodes, Mark A is an individual health care provider with primary practice located at 1160 Country Club Ln # 1160 , Fort Worth TX 76112-2008. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Rhodes, Mark A can be contacted via phone (817) 361-7201.Contact Information
Primary practice address
1160 Country Club Ln # 1160
Fort Worth TX 76112-2008
Phone: (817) 361-7201
Fax: (817) 361-7521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 17947 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 17947 | Texas |
Profile Details
| NPI number | 1750468385 |
|---|---|
| LBN Legal business name | Rhodes, Mark A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 10th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750468385 | NPPES |
| Texas | Other | 10037201 | AMERIGROUP PIN |
| Texas | Other | 1336198894 | AMERIGROUP PIN |
| Texas | Other | 5669761 | AMERIGROUP PIN |
| Texas | Other | 135391 | AMERIGROUP PIN |
| Texas | MEDICAID | 153863906 | AMERIGROUP PIN |
| Texas | Other | 00G981 | AMERIGROUP PIN |
| Texas | Other | 84762L | AMERIGROUP PIN |
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