Healthcare Provider Details

I. General information

NPI: 1710638861
Provider Name (Legal Business Name): ALEXANDRIA A ROCHETTO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 BAYOU BLVD STE 21
PENSACOLA FL
32503-2671
US

IV. Provider business mailing address

4300 BAYOU BLVD STE 21
PENSACOLA FL
32503-2671
US

V. Phone/Fax

Practice location:
  • Phone: 850-324-3646
  • Fax: 407-386-7882
Mailing address:
  • Phone: 850-324-3646
  • Fax: 407-386-7882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH26101
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: