Provider Demographics
NPI:1376947036
Name:MBR COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:MBR COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:BIGLER
Authorized Official - Last Name:ROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-609-7265
Mailing Address - Street 1:1714 NE 6TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3791
Mailing Address - Country:US
Mailing Address - Phone:415-609-7265
Mailing Address - Fax:
Practice Address - Street 1:1810 NW 6TH ST STE C
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609
Practice Address - Country:US
Practice Address - Phone:415-609-7265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 9122103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty