Provider Demographics
NPI:1225705940
Name:DEL ROSARIO, COURTNEY E (LMHC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:E
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3127 BUCKVIEW LN
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-7302
Mailing Address - Country:US
Mailing Address - Phone:609-549-1175
Mailing Address - Fax:
Practice Address - Street 1:3127 BUCKVIEW LN
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-7302
Practice Address - Country:US
Practice Address - Phone:609-549-1175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2024-03-28
Deactivation Date:2024-03-19
Deactivation Code:
Reactivation Date:2024-03-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health