Provider Demographics
NPI:1518634187
Name:ROZARIO, FLORENCE BRISTY (MA, LGPC)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:BRISTY
Last Name:ROZARIO
Suffix:
Gender:F
Credentials:MA, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 PAXTON CT
Mailing Address - Street 2:
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2645
Mailing Address - Country:US
Mailing Address - Phone:301-741-5869
Mailing Address - Fax:
Practice Address - Street 1:2021 L ST NW STE 101-279
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4909
Practice Address - Country:US
Practice Address - Phone:617-455-8359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC00840101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health