Rhodes, Shadeau Lea

Rhodes, Shadeau Lea is an individual health care provider with primary practice located at 152 Timber Creek Dr Ste 4 , Cordova TN 38018-4237. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rhodes, Shadeau Lea can be contacted via phone (901) 308-6991.

Contact Information

Primary practice address
152 Timber Creek Dr Ste 4 Cordova TN 38018-4237
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 11304 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7952 Tennessee

Profile Details

NPI number 1023778461
LBN Legal business name Rhodes, Shadeau Lea
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2021
Last updated Mar 11th, 2022 - about 2 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 1023778461 NPPES
Other NA NA

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