Provider Demographics
NPI:1376745489
Name:ROCCAFORTE, ERICA CELESTE (BS)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:CELESTE
Last Name:ROCCAFORTE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209E HENSLEE DR.
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2089
Mailing Address - Country:US
Mailing Address - Phone:615-446-7650
Mailing Address - Fax:
Practice Address - Street 1:209E HENSLEE DR
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2089
Practice Address - Country:US
Practice Address - Phone:615-446-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health