Provider Demographics
NPI:1053631697
Name:ROZELL COUNSELING AND PSYCHOTHERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:ROZELL COUNSELING AND PSYCHOTHERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COUNSELOR/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:MACATEE
Authorized Official - Last Name:ROZELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LADAC
Authorized Official - Phone:505-974-0329
Mailing Address - Street 1:9400 HOLLY AVE NE
Mailing Address - Street 2:BLDG 4, SUITE F
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-2968
Mailing Address - Country:US
Mailing Address - Phone:505-974-0329
Mailing Address - Fax:505-944-1073
Practice Address - Street 1:9400 HOLLY AVE NE
Practice Address - Street 2:BLDG 4, SUITE F
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-2968
Practice Address - Country:US
Practice Address - Phone:505-974-0329
Practice Address - Fax:505-944-1073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-06
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLPCC-0132241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty