Provider Demographics
NPI:1467122549
Name:BROWN, ROCHELLE DENISE (MSPSYFPS)
Entity Type:Individual
Prefix:MISS
First Name:ROCHELLE
Middle Name:DENISE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSPSYFPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 TISH CIR APT 1510
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-3553
Mailing Address - Country:US
Mailing Address - Phone:225-249-9627
Mailing Address - Fax:
Practice Address - Street 1:1111 W MOCKINGBIRD LN UNIT 7-2
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-5028
Practice Address - Country:US
Practice Address - Phone:225-249-9627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator