MEDICARE: MRS. ROCHELLE IRIS DORNEY LMHC

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	IMH 9049	FL
2	101YM0800X	Mental Health Counselor	MH11813	FL

General Provider Information

NPI Number	:	1720375892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROCHELLE IRIS DORNEY LMHC

Provider Business Mailing Address
First Line	:	1205 33RD AVE SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32968-5051
Country	:	US
Telephone Number	:	772-713-8517
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 33RD AVE SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32968-5051
Country	:	US
Telephone Number	:	772-713-8517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2011
Last Update Date	:	11/08/2022

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