Healthcare Provider Details

I. General information

NPI: 1609913987
Provider Name (Legal Business Name): RHONDA LYNN STEMPKOVSKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 06/30/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 HIGHWAY 80 W STE R
CLINTON MS
39056-4108
US

IV. Provider business mailing address

107 CASCABLE DR
CANTON MS
39046-8034
US

V. Phone/Fax

Practice location:
  • Phone: 601-473-2006
  • Fax:
Mailing address:
  • Phone: 573-233-5049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1641
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: