KELLIE ROCHA, LICSW, PLLC - NPI 1760059091 - Clinic/Center in Dover, NH

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

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About Kellie Rocha, Licsw, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE ROCHA, LICSW, PLLC (NPI 1760059091) is a healthcare organization registered as an adolescent and children mental health in Dover, New Hampshire and active in the NPI registry since June 2021. The organization lists Kellie Rocha, Owner, as its authorized official.

NPPES Registry Identity

NPI1760059091

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameKELLIE ROCHA, LICSW, PLLC

Location Address308 DURHAM RDDover, NH 03820-4354

Mailing Address308 Durham RdDover, NH 03820-4354 · (978) 274-7686

Phone(978) 274-7686

Organization SubpartNo

Authorized OfficialKellie RochaOwner · (978) 274-7686

Enumeration DateJune 7, 2021

Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration

NPPES CertifiedAugust 11, 2021

✔ NPI 1760059091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

308 DURHAM RD, Dover, NH 03820

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