Rochelle N Rodriguez, | |
4113 Birney Ave, Moosic, PA 18507-1301 | |
(570) 489-5561 | |
Not Available |
Full Name | Rochelle N Rodriguez |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4113 Birney Ave, Moosic, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225603459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 32249848 (Pennsylvania) | Primary |
Entity Name | Thaxton Holistic Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609243898 PECOS PAC ID: 2769818418 Enrollment ID: O20200129000324 |
Mailing Address | Practice Location Address |
---|---|
Rochelle N Rodriguez, 4113 Birney Ave, Moosic, PA 18507-1301 Ph: (570) 489-5561 | Rochelle N Rodriguez, 4113 Birney Ave, Moosic, PA 18507-1301 Ph: (570) 489-5561 |
Jessica Mcdonough, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Jason Lee Anthony, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 | |
Cassie Elizabeth Benscoter, LPC NCC Counselor Medicare: Medicare Enrolled Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 | |
Mr. Kyle L Strobel, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Jennifer Julstedt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Natalie Susan Gray, MS, NCC, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-207-0615 |