Provider Demographics
NPI:1790675734
Name:RHODES, DESTYNYI X
Entity type:Individual
Prefix:MS
First Name:DESTYNYI
Middle Name:X
Last Name:RHODES
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 1:2215 AVENIDA LA QUINTA ST APT 916
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5674
Mailing Address - Country:US
Mailing Address - Phone:832-740-8444
Mailing Address - Fax:
Practice Address - Street 1:2215 AVENIDA LA QUINTA ST APT 916
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5674
Practice Address - Country:US
Practice Address - Phone:832-740-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician