Healthcare Provider Details

I. General information

NPI: 1972201440
Provider Name (Legal Business Name): RHONDA BARNARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13238 ANTELOPE RUN
SAINT HEDWIG TX
78152-0107
US

IV. Provider business mailing address

13238 ANTELOPE RUN
SAINT HEDWIG TX
78152-0107
US

V. Phone/Fax

Practice location:
  • Phone: 256-509-7493
  • Fax:
Mailing address:
  • Phone: 256-509-7493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number80970
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number80970
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: