Provider Demographics
NPI:1013375658
Name:JENNIFER ROSENBLUTH
Entity Type:Organization
Organization Name:JENNIFER ROSENBLUTH
Other - Org Name:LESSONS LEARNED THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBLUTH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:336-365-6867
Mailing Address - Street 1:910 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1513
Mailing Address - Country:US
Mailing Address - Phone:336-365-6867
Mailing Address - Fax:336-419-4419
Practice Address - Street 1:910 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1513
Practice Address - Country:US
Practice Address - Phone:336-365-6867
Practice Address - Fax:336-419-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health