Provider Demographics
NPI:1326877051
Name:ROCKLAND THERAPY LCSW, PLLC
Entity type:Organization
Organization Name:ROCKLAND THERAPY LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HEAPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:914-837-0232
Mailing Address - Street 1:2 HARTSHORN LN
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2808
Mailing Address - Country:US
Mailing Address - Phone:914-837-0232
Mailing Address - Fax:
Practice Address - Street 1:105 SHAD ROW FL 2
Practice Address - Street 2:
Practice Address - City:PIERMONT
Practice Address - State:NY
Practice Address - Zip Code:10968-3001
Practice Address - Country:US
Practice Address - Phone:914-837-0232
Practice Address - Fax:845-735-7235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)