Provider Demographics
NPI:1598242794
Name:ROSEMANS COUNSELING & CONTRACTING SERVICES PLLC
Entity Type:Organization
Organization Name:ROSEMANS COUNSELING & CONTRACTING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TWANETTA
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:ROSEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LPC-A, LCAS
Authorized Official - Phone:704-495-4482
Mailing Address - Street 1:3028 LEROY ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-7633
Mailing Address - Country:US
Mailing Address - Phone:704-495-4482
Mailing Address - Fax:
Practice Address - Street 1:3010 MONROE RD STE 107D
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7533
Practice Address - Country:US
Practice Address - Phone:704-495-4482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13649251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health