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General NPI Number Information
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NPI Number | 1255027454
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Entity Type | Organization
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Legal Business Name | ROCKROSE THERAPEUTIC CENTER, PLLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 8500 SHOAL CREEK BLVD STE 114
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City | AUSTIN
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State | TX
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Zip | 78757-7591
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Country | US
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Telephone | 512-593-8510
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 MITRA DR
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City | AUSTIN
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State | TX
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Zip | 78739-1957
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Country | US
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Telephone | 337-789-2111
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ASHLEY STUBBLEFIELD
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Credential | LCSW-S
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Telephone | 512-593-8510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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