Organization
ROSE STREET MENTAL HEALTH CARE, LLP
Active
Organization
ROSE STREET MENTAL HEALTH CARE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WINTER (OFFICE MANAGER)
(940) 322-9456
Entity
Organization
Contact information
Practice address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-0446
Mailing address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-0446
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
TX
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
TX
1041C0700X
Clinical Social Worker
—
TX
2084P0800X
Psychiatry Physician
Primary
—
TX
363L00000X
Nurse Practitioner
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124521
SUPERIOR
TX
05
—
160113001
—
TX
05
—
200065400A
—
OK
01
—
295881
VALUEOPTIONS
TX
Enumeration date
07/20/2005
Last updated
07/21/2022
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