Provider Demographics
NPI:1093156788
Name:ROGERS, ROSALIND G (PHD, LMHC)
Entity Type:Individual
Prefix:
First Name:ROSALIND
Middle Name:G
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7312 EGGAR WOODS LN STE 3
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-2012
Mailing Address - Country:US
Mailing Address - Phone:954-882-5392
Mailing Address - Fax:
Practice Address - Street 1:7312 EGGAR WOODS LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-2012
Practice Address - Country:US
Practice Address - Phone:954-882-5392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health