Provider Demographics
NPI:1467336248
Name:RHODES, TABATHA NOEL (LMSW)
Entity type:Individual
Prefix:
First Name:TABATHA
Middle Name:NOEL
Last Name:RHODES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TABATHA
Other - Middle Name:NOEL
Other - Last Name:GUTHRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:903 W FIRWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NM
Mailing Address - Zip Code:87413-5022
Mailing Address - Country:US
Mailing Address - Phone:505-402-9713
Mailing Address - Fax:
Practice Address - Street 1:325 N BERGIN LN
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NM
Practice Address - Zip Code:87413-6729
Practice Address - Country:US
Practice Address - Phone:505-632-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2025-07071041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool