ETTA JUNE ROCKWELL (NPI# 1336652171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336652171 |
| Entity Type | Individual |
| Full Name | ETTA JUNE ROCKWELL |
| Practice Address |
2400 S Ridgewood Ave South Daytona FL 32119-3097 |
| Mailing Address |
2549 Yale Rd South Daytona FL 32119-3337 |
| Practice Telephone | 3863047600 |
| Mailing Telephone | 3865069319 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2400 S RIDGEWOOD AVE |
| City | SOUTH DAYTONA |
| State | FL |
| Zip Code | 32119-3097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689651523 | Mobility Products Unlimited LLC | Durable Medical Equipment & Medical Supplies | 2400 S Ridgewood Ave, Suite 48, South Daytona, FL 32119 | 2005-12-30 |
| 1679112361 | Lindsay Paige Marriott | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2019-12-30 |
| 1528602281 | Sharonda Mcphee | Marriage & Family Therapist | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2019-11-05 |
| 1184270621 | Martine Rose Wallenberg | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2019-08-12 |
| 1033763180 | Sheanna Y James | Case Manager/Care Coordinator | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2019-07-26 |
| 1720642580 | Melissa Magy Girgis | Pharmacist | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2019-04-26 |
| 1720541832 | Jazmine Hunt | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2019-04-08 |
| 1427515881 | Regan Leigh Boggs | Social Worker | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2019-02-21 |
| 1093299273 | Tameria B Vickers | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2018-09-24 |
| 1275016024 | Molly Patricia Chamness | Case Manager/Care Coordinator | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1720451040 | Tyler M Mckinniss | Chiropractor | 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 | 2015-11-09 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| Find all providers in zip 32119 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164764023 | Maysia S Allen | Counselor | 2248 Robinhood Trl, South Daytona, FL 32119-2910 | 2013-03-19 |
| 1215150420 | Jennifer Nikole Kendra Marvin | Counselor | 2400 S Ridgewood Ave Ste 17, South Daytona, FL 32119-3073 | 2007-04-10 |
| 1639716673 | Richard Block | Counselor | 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119-3073 | 2019-12-10 |
| 1619512852 | Trevene Trishan Christian | Counselor | 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119-3073 | 2019-11-12 |
| 1427527407 | Charna Fagan | Counselor | 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119-3073 | 2018-11-19 |
| 1093299273 | Tameria B Vickers | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2018-09-24 |
| 1679087282 | Anquanette Jackson | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2017-11-20 |
| 1265969661 | Chandrea Williams | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2017-05-16 |
| 1679016455 | Bonnie Stanford | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2016-11-28 |
| 1558804690 | Charity Ann Clark | Counselor | 2400 S Ridgewood Ave, South Daytona, FL 32119-3097 | 2016-11-21 |
| Find all providers in SOUTH DAYTONA | ||||
| City | SOUTH DAYTONA |
| Zip Code | 32119 |
Please comment or provide details below to improve the information on ETTA JUNE ROCKWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.