Provider Demographics
NPI:1679336523
Name:CAPOZZI, ROSALEE LYNNE (LCMHCA, NCC)
Entity Type:Individual
Prefix:MRS
First Name:ROSALEE
Middle Name:LYNNE
Last Name:CAPOZZI
Suffix:
Gender:F
Credentials:LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1752 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-4800
Mailing Address - Country:US
Mailing Address - Phone:704-215-5077
Mailing Address - Fax:
Practice Address - Street 1:1752 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4800
Practice Address - Country:US
Practice Address - Phone:704-215-5077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health