Healthcare Provider Details

I. General information

NPI: 1922936509
Provider Name (Legal Business Name): ROZELL MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 TREVOR CT UNIT 101
GLENMONT NY
12077-3267
US

IV. Provider business mailing address

1440 CENTRAL AVE STE 141014
ALBANY NY
12205-5118
US

V. Phone/Fax

Practice location:
  • Phone: 845-320-4467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AMANDA ROZELL
Title or Position: OWNER
Credential: LMHC
Phone: 845-320-4467