Provider Demographics
NPI:1689333999
Name:HROMANIK, ROSEMARIE OWOC (MA, NCC, RMHCI)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:OWOC
Last Name:HROMANIK
Suffix:
Gender:F
Credentials:MA, NCC, RMHCI
Other - Prefix:MISS
Other - First Name:ROSEMARIE
Other - Middle Name:
Other - Last Name:OWOC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:620 BRIDGEFORD CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-7536
Mailing Address - Country:US
Mailing Address - Phone:484-213-0665
Mailing Address - Fax:
Practice Address - Street 1:620 BRIDGEFORD CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-7536
Practice Address - Country:US
Practice Address - Phone:484-213-0665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101Y00000X, 101YA0400X, 101YM0800X, 261QM0801X, 261QM0850X, 261QM0855X
171W00000X
FLIMH23700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171W00000XOther Service ProvidersContractor
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health