Provider Demographics
NPI:1508643636
Name:ROSETREE CENTER FOR HEALTHY SEXUALITY
Entity Type:Organization
Organization Name:ROSETREE CENTER FOR HEALTHY SEXUALITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, ACS, CCSOT
Authorized Official - Phone:484-574-1041
Mailing Address - Street 1:318 W BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3791
Mailing Address - Country:US
Mailing Address - Phone:484-574-1041
Mailing Address - Fax:
Practice Address - Street 1:318 W BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3791
Practice Address - Country:US
Practice Address - Phone:484-574-1041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty