Provider Demographics
NPI:1871147694
Name:RODE, CHELSEA V (PSYD)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:V
Last Name:RODE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:V
Other - Last Name:RANDALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:ONE OAK PLAZA
Mailing Address - Street 2:STE. 208
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3000
Mailing Address - Country:US
Mailing Address - Phone:828-575-9760
Mailing Address - Fax:828-575-9761
Practice Address - Street 1:600A CENTREPARK DRIVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1276
Practice Address - Country:US
Practice Address - Phone:828-575-9760
Practice Address - Fax:828-575-9761
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-30
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103483103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist