Healthcare Provider Details

I. General information

NPI: 1427108497
Provider Name (Legal Business Name): BIANCA RHODES SPIES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 CRYSTAL CITY HWY
UVALDE TX
78801-6124
US

IV. Provider business mailing address

819 WATER ST SUITE 300
KERRVILLE TX
78028-5333
US

V. Phone/Fax

Practice location:
  • Phone: 830-278-2501
  • Fax: 830-278-4041
Mailing address:
  • Phone: 830-792-3300
  • Fax: 830-792-5771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number61958
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: