Hall, Rochelle Marie

Hall, Rochelle Marie is an individual health care provider with primary practice located at 3501 W Vine St Ste 511 , Kissimmee FL 34741-4601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hall, Rochelle Marie can be contacted via phone (407) 744-3554.

Contact Information

Primary practice address
3501 W Vine St Ste 511 Kissimmee FL 34741-4601
Phone: (407) 744-3554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW10492 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW5395 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10492 Florida

Profile Details

NPI number 1770804783
LBN Legal business name Hall, Rochelle Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2010
Last updated Oct 7th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770804783 NPPES
Florida MEDICAID 004165100

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