Provider Demographics
NPI:1134643273
Name:JROUSSO COUNSELING, LLC
Entity type:Organization
Organization Name:JROUSSO COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JEANINE
Authorized Official - Last Name:ROUSSO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:850-677-5300
Mailing Address - Street 1:129 LONG JOHN DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-1356
Mailing Address - Country:US
Mailing Address - Phone:850-677-5300
Mailing Address - Fax:
Practice Address - Street 1:129 LONG JOHN DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-1356
Practice Address - Country:US
Practice Address - Phone:850-677-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15252261QM0855X
261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health