Provider Demographics
NPI:1427750983
Name:PORTER, ROCHELLE LEE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:LEE
Last Name:PORTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7875 MOFFETT RD STE D
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-5478
Mailing Address - Country:US
Mailing Address - Phone:251-202-3103
Mailing Address - Fax:
Practice Address - Street 1:7875 MOFFETT RD STE D
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-5478
Practice Address - Country:US
Practice Address - Phone:251-202-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL613106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist