Provider Demographics
NPI:1699957795
Name:GIOVANNINI, ROCHELLE GIOVANNINI (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:GIOVANNINI
Last Name:GIOVANNINI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:GIOVANNINI
Other - Last Name:REYNHOUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1639 FORUM PL STE 7
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2330
Mailing Address - Country:US
Mailing Address - Phone:561-712-8821
Mailing Address - Fax:561-712-8070
Practice Address - Street 1:1639 FORUM PL STE 7
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2330
Practice Address - Country:US
Practice Address - Phone:561-712-8821
Practice Address - Fax:561-712-8070
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL766216500Medicaid