MEDICARE: ROCKY SHORES COUNSELING AND CONSULTING, PLLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1467251678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKY SHORES COUNSELING AND CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	348 ROCKY SHORE DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-4007
Country	:	US
Telephone Number	:	469-403-0375
Fax Number	:

Provider Business Practice Location Address
First Line	:	348 ROCKY SHORE DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-4007
Country	:	US
Telephone Number	:	469-403-0375
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH BROWN
Credential	:	LPC, LCDC
Telephone Number	:	469-403-0375

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/12/2025

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