Provider Demographics
NPI:1053140699
Name:HAMBLIN, RHONDA L (LMSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:L
Last Name:HAMBLIN
Suffix:
Gender:F
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BELDING
Mailing Address - State:MI
Mailing Address - Zip Code:48809-1962
Mailing Address - Country:US
Mailing Address - Phone:616-894-2891
Mailing Address - Fax:
Practice Address - Street 1:1414 CHASE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-7147
Practice Address - Country:US
Practice Address - Phone:616-209-4435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010650861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical