Rose Garden Clinic, LLC
Organization Active NPI Professional Counselor · Cache, OK
NPI 1316225212 · NPPES record last updated Jul 26, 2011
Key facts
- NPI
- 1316225212
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2757 (OK)
- Legal business name
- ROSE GARDEN CLINIC, LLC
- Practice address
- 509 West C Ave
Cache, OK 73527 - Phone
- (580) 429-2700
- Fax
- (580) 429-2701
- NPI assigned
- Jul 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric Paul Christian Rosenquist, MS, LPC, LBP
- Title
- Lead Counselor
- Phone
- (580) 429-2700
National Provider Directory
Locations
509 W C Ave
Cache, OK 73527
Phone (580) 429-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 0109 | OK | |
| Mental Health Counselor |
101YM0800X | CERT. SEX OFF TREATM | OK | |
| Professional Counselor |
101YP2500X | 2757 | OK | Yes |
Addresses
Primary practice location
509 West C Ave
Cache, OK 73527
Mailing address
PO Box 181
Cache, OK 73527-0181
Phone (580) 429-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200334980A | Medicaid | OK |
Other names
- Rosenquist Counseling
Other providers in Cache, OK
- Nicholas Jay Livingston
- Brittany Mansel
- Physiatry Services Inc
- Shelley Ricci
- Craig Alan Roberts
- Eric Paul Christian Rosenquist
- Bryan Swietek
- Jennifer Tilley
- Tunnel Vision Recovery LLC
- Tunnel Vision Recovery LLC
All providers in Cache, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.