Provider Demographics
NPI:1033919584
Name:RHETT, MADELYN ANN
Entity type:Individual
Prefix:
First Name:MADELYN
Middle Name:ANN
Last Name:RHETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 TINDALL DR
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4253
Mailing Address - Country:US
Mailing Address - Phone:571-330-8977
Mailing Address - Fax:
Practice Address - Street 1:351 OLD HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-9265
Practice Address - Country:US
Practice Address - Phone:256-539-3773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst