Provider Demographics
NPI:1922897156
Name:BENTON, RHONDA CAROL (LCMHCA)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:CAROL
Last Name:BENTON
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 MILITARY CUTOFF RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3638
Mailing Address - Country:US
Mailing Address - Phone:910-240-2489
Mailing Address - Fax:
Practice Address - Street 1:101 AMBER WAY
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-2464
Practice Address - Country:US
Practice Address - Phone:704-961-7237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21311101YM0800X
NC1177418101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health