Rockwell, Brenda C.
Rockwell, Brenda C. is an sole proprietor health care provider with primary practice located at 3930 S Nova Rd Ste 307 , Port Orange FL 32127-9293. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rockwell, Brenda C. can be contacted via phone (386) 866-2988.Contact Information
Primary practice address
3930 S Nova Rd Ste 307
Port Orange FL 32127-9293
Phone: (386) 866-2988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH14744 | Florida |
Profile Details
| NPI number | 1942636584 |
|---|---|
| LBN Legal business name | Rockwell, Brenda C. |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2013 |
| Last updated | Sep 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942636584 | NPPES |
| Florida | MEDICAID | 020114000 |
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