1225302623 NPI number — MRS. JOELLEN EVANS RHYNDRESS LMSW

Table of content: DELANEY SMITH RDN (NPI 1801664776)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225302623 NPI number — MRS. JOELLEN EVANS RHYNDRESS LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHYNDRESS
Provider First Name:
JOELLEN
Provider Middle Name:
EVANS
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225302623
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/11/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
376 E APPLE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MUSKEGON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49442-3466
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
231-724-3699
Provider Business Mailing Address Fax Number:
231-724-4188

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
204 CHARLOTTE HWY STE F
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28803-8681
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-333-5708
Provider Business Practice Location Address Fax Number:
828-484-1025
Provider Enumeration Date:
03/02/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6801093141 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com