Healthcare Provider Details

I. General information

NPI: 1114421146
Provider Name (Legal Business Name): RHONDA WHITNER QMHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WAYNE AVE
DAYTON OH
45410-1199
US

IV. Provider business mailing address

600 WAYNE AVE
DAYTON OH
45410-1199
US

V. Phone/Fax

Practice location:
  • Phone: 937-496-2000
  • Fax: 937-463-2901
Mailing address:
  • Phone: 937-496-2000
  • Fax: 937-463-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: