Provider Demographics
NPI:1073239166
Name:ROCKHILL, TODD (BS, QIDP, QMHP)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:ROCKHILL
Suffix:
Gender:M
Credentials:BS, QIDP, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 S COCHRAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813-2251
Mailing Address - Country:US
Mailing Address - Phone:734-645-4768
Mailing Address - Fax:
Practice Address - Street 1:617 S COCHRAN AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-2251
Practice Address - Country:US
Practice Address - Phone:734-645-4768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator