Provider Demographics
NPI:1437211877
Name:PIPER, ROSEMARY O (LADC LMHC)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:O
Last Name:PIPER
Suffix:
Gender:F
Credentials:LADC LMHC
Other - Prefix:MISS
Other - First Name:ROSEMARY
Other - Middle Name:A
Other - Last Name:ODENTHAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14 BLUEBERRY LANE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:CT
Mailing Address - Zip Code:06784-1808
Mailing Address - Country:US
Mailing Address - Phone:860-350-5486
Mailing Address - Fax:
Practice Address - Street 1:14 BLUEBERRY LANE
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:CT
Practice Address - Zip Code:06784-1808
Practice Address - Country:US
Practice Address - Phone:860-350-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000257101YA0400X
NY002886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health