Healthcare Provider Details

I. General information

NPI: 1336296797
Provider Name (Legal Business Name): LUCINDA ANNE RHOADS MS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CINDY ANNE RHOADS MS LPCC LSW

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 ELSINORE PL STE 200
CINCINNATI OH
45202-1457
US

IV. Provider business mailing address

615 ELSINORE PL STE 200
CINCINNATI OH
45202-1457
US

V. Phone/Fax

Practice location:
  • Phone: 513-639-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE2842
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberE2842
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS21787
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: