Provider Demographics
NPI:1104620327
Name:ROCKEY COUNSELING SERVICES
Entity type:Organization
Organization Name:ROCKEY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LISW
Authorized Official - Phone:419-553-7794
Mailing Address - Street 1:1210 W HIGH ST STE C
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:OH
Mailing Address - Zip Code:43506-3521
Mailing Address - Country:US
Mailing Address - Phone:419-553-7794
Mailing Address - Fax:
Practice Address - Street 1:1210 W HIGH ST STE C
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506-3521
Practice Address - Country:US
Practice Address - Phone:419-553-7794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty