MEDICARE: MRS. LUCINDA ANNE RHOADS MS LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	S21787	OH
2	103T00000X	Psychologist	E2842	OH
3	101YP2500X	Professional Counselor	E2842	OH

General Provider Information

NPI Number	:	1336296797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LUCINDA ANNE RHOADS MS LPCC

Provider Business Mailing Address
First Line	:	615 ELSINORE PL STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1457
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 ELSINORE PL STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-1457
Country	:	US
Telephone Number	:	513-639-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	07/26/2022

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