MEDICARE: RHONDA F. FERRELL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2031	NC

General Provider Information

NPI Number	:	1306846779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA F. FERRELL LPC

Provider Business Mailing Address
First Line	:	625 SHADOW LN
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27107-6835
Country	:	US
Telephone Number	:	336-817-6766
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 SHADOW LN
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27107-6835
Country	:	US
Telephone Number	:	336-817-6766
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	01/28/2017

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