Healthcare Provider Details
I. General information
NPI: 1578504411
Provider Name (Legal Business Name): RHONDA JANICE LOFTIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 06/10/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
513 N JUSTICE ST
HENDERSONVILLE NC
28739-4217
US
IV. Provider business mailing address
800 FLEMING ST
HENDERSONVILLE NC
28791-3528
US
V. Phone/Fax
- Phone: 828-697-4187
- Fax: 828-697-4488
- Phone: 828-697-4160
- Fax: 828-693-9560
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 4923 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: