Provider Demographics
NPI:1780370908
Name:ROSE COUNSELING, LLC.
Entity type:Organization
Organization Name:ROSE COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIANA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:SHMOOKLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-490-3478
Mailing Address - Street 1:1640 POWERS FERRY RD SE BLDG 18-200
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-9413
Mailing Address - Country:US
Mailing Address - Phone:404-490-3478
Mailing Address - Fax:
Practice Address - Street 1:1640 POWERS FERRY RD SE BLDG 18-200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-9413
Practice Address - Country:US
Practice Address - Phone:404-490-3478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health