Provider Demographics
NPI:1689353690
Name:ROCKCASTLE THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:ROCKCASTLE THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:606-308-4038
Mailing Address - Street 1:188 ROLLING HILLS RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:KY
Mailing Address - Zip Code:40456-8119
Mailing Address - Country:US
Mailing Address - Phone:606-308-4038
Mailing Address - Fax:
Practice Address - Street 1:310 RICHMOND STREET
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456
Practice Address - Country:US
Practice Address - Phone:606-308-4038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty