Healthcare Provider Details

I. General information

NPI: 1194101576
Provider Name (Legal Business Name): RHONDELL MCGUIRE II M.A., ED.D, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 GLENLAKE PKWY
SANDY SPRINGS GA
30328-3495
US

IV. Provider business mailing address

6500 ARIA BLVD APT 103
SANDY SPRINGS GA
30328-3667
US

V. Phone/Fax

Practice location:
  • Phone: 314-750-3538
  • Fax: 678-389-9029
Mailing address:
  • Phone: 314-440-4734
  • Fax: 678-389-9029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2013014380
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLPC009102
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC009102
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC009102
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: