Organization
RECOVER OR SACRIFICE EVERYTHING (ROSE) COUNSELING CENTER
Active
Other names
Rose Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS KAY MOCZYGEMBA SAP, LCDC, MS (DIRECTOR / PRESIDENT)
(512) 653-8922
Entity
Organization
Contact information
Practice address
1825 FORTVIEW RD STE 106, AUSTIN, TX 78704-7600
(512) 653-8922
Mailing address
1825 FORTVIEW RD STE 106, AUSTIN, TX 78704-7600
(512) 653-8922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32067800204
TAX ID
TX
Enumeration date
09/20/2018
Last updated
04/19/2019
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