Healthcare Provider Details

I. General information

NPI: 1982701892
Provider Name (Legal Business Name): KATHRYN HAYNES RHODY EDD, LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12725 MCMANUS BLVD BLDG 2, STE F & G
NEWPORT NEWS VA
23602-4402
US

IV. Provider business mailing address

103 BROOKSTONE CT
YORKTOWN VA
23693-5515
US

V. Phone/Fax

Practice location:
  • Phone: 757-874-1676
  • Fax: 757-874-2226
Mailing address:
  • Phone: 757-874-7273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701001204
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000059
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: