Provider Demographics
NPI:1770223372
Name:ROCK, EMMANUEL L (MS, LPC, NCC,)
Entity type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:L
Last Name:ROCK
Suffix:
Gender:M
Credentials:MS, LPC, NCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NOBLE ST STE 710
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-5698
Mailing Address - Country:US
Mailing Address - Phone:256-273-9369
Mailing Address - Fax:256-253-5541
Practice Address - Street 1:801 NOBLE ST STE 710
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-5698
Practice Address - Country:US
Practice Address - Phone:256-273-9369
Practice Address - Fax:256-253-5541
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05275101YP2500X
ALC4082A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health