Provider Demographics
NPI:1184456501
Name:LONE ROCK COUNSELING
Entity type:Organization
Organization Name:LONE ROCK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOOSLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-769-2968
Mailing Address - Street 1:10314 W ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-8905
Mailing Address - Country:US
Mailing Address - Phone:602-769-2968
Mailing Address - Fax:
Practice Address - Street 1:10314 W ROSEWOOD LN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-8905
Practice Address - Country:US
Practice Address - Phone:602-769-2968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty