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General NPI Number Information
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NPI Number | 1568373827
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Entity Type | Organization
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Legal Business Name | ROSE ROCK PSYCHIATRY & WELLNESS, LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 601 S MISSION ST STE A
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City | SAPULPA
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State | OK
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Zip | 74066-4657
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Country | US
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Telephone | 918-347-7437
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S MISSION ST STE A
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City | SAPULPA
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State | OK
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Zip | 74066-4657
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Country | US
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Telephone | 918-347-7437
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Fax | 539-203-3268
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Authorized Official
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Title or Position | OFFICE/OPERATIONS MANAGER
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Name | KATRINA ASHBY
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Credential | MANAGER
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Telephone | 918-991-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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