| Rhonda Graham M.ed., Lpc | |
|
1613 S Colgate St Perryton TX 79070-4815 | |
| (480) 634-0332 | |
| (806) 434-2715 |
| Full Name | Rhonda Graham M.ed., Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1613 S Colgate St, Perryton, Texas |
| Authorized Official Name and Position | Rhonda D Graham (PRESIDENT) |
| Authorized Official Contact | 8064340332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhonda Graham M.ed., Lpc 1613 S Colgate St Perryton TX 79070-4815 Ph: (480) 634-0332 | Rhonda Graham M.ed., Lpc 1613 S Colgate St Perryton TX 79070-4815 Ph: (480) 634-0332 |
| NPI Number | 1518978360 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518978360 | NPI | - | NPPES |
| 0058NN | Other | TX | BC/BS TEXAS GROUP ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10505 (Texas) | Primary |
Tri-state Area Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1305 S Harvard St, Perryton, TX 79070 Phone: 806-202-8681 |