Healthcare Provider Details

I. General information

NPI: 1245156801
Provider Name (Legal Business Name): ROCIO VAZQUEZ TORO LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2618 BATTLEGROUND AVE STE A
GREENSBORO NC
27408-1925
US

IV. Provider business mailing address

2618 BATTLEGROUND AVE STE A
GREENSBORO NC
27408-1925
US

V. Phone/Fax

Practice location:
  • Phone: 336-285-7173
  • Fax: 336-285-7174
Mailing address:
  • Phone: 336-285-7173
  • Fax: 336-285-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: