Basic Information
| Provider Information | |||||||||
| NPI: | 1922406610 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURR-HILBURN | ||||||||
| FirstName: | RHONDA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 549 COX RD | ||||||||
| Address2: | |||||||||
| City: | GASTONIA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280540628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048651558 | ||||||||
| FaxNumber: | 7048659908 | ||||||||
| Practice Location | |||||||||
| Address1: | 549 COX RD | ||||||||
| Address2: | |||||||||
| City: | GASTONIA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280540628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048651558 | ||||||||
| FaxNumber: | 7048659908 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2014 | ||||||||
| LastUpdateDate: | 12/11/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 2932A | NC | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YM0800X | A10167 | NC | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.