Provider Demographics
NPI:1558108506
Name:ROCKEY, REANNE LEA
Entity type:Individual
Prefix:MRS
First Name:REANNE
Middle Name:LEA
Last Name:ROCKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NAN
Other - Middle Name:LEA
Other - Last Name:ROCKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2745 S LEONARD SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-3137
Mailing Address - Country:US
Mailing Address - Phone:812-717-0955
Mailing Address - Fax:
Practice Address - Street 1:2432 CONSERVATORY DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-3985
Practice Address - Country:US
Practice Address - Phone:317-707-9040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health