MEDICARE: ROONEY COUNSELING AND COLLABORATION SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255946125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROONEY COUNSELING AND COLLABORATION SERVICES

Provider Business Mailing Address
First Line	:	9605 SHOAL CT
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33981-4242
Country	:	US
Telephone Number	:	941-815-1822
Fax Number	:

Provider Business Practice Location Address
First Line	:	9605 SHOAL CT
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33981-4242
Country	:	US
Telephone Number	:	941-815-1822
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MRS. CHRISTINA ANN ROONEY
Credential	:	LMHC
Telephone Number	:	941-815-1822

Provider Enumeration Date	:	09/09/2020
Last Update Date	:	09/09/2020

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