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Tyra Lara Roy
Mental Health Counselor in Edgewater, Florida
NPI 1972257509

Tyra Lara Roy is a Mental Health Counselor based in Edgewater, FL and is specialized in Mental Health. Tyra Lara Roy practices in Edgewater, FL. The NPI Number for Tyra Lara Roy is 1972257509 and holds a License No. MH22515 (Florida).

The current practice location address for Tyra Lara Roy is 239 N Ridgewood Ave, Edgewater, FL and can be reached out via phone at 386-427-4868.

Location: 239 N Ridgewood Ave, Edgewater, FL, 32132-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972257509
Provider Name
Tyra Lara Roy
Credential
Provider Entity Type
Individual
Gender
Female
Address
239 N Ridgewood Ave, Edgewater, FL, 32132-1734
Phone Number
386-427-4868
Fax Number
Provider Enumeration Date
02/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
239 N Ridgewood Ave
City
Edgewater
State
Florida
Zip
32132-1734
Phone Number
386-427-4868
Fax Number
person
Provider Business Mailing Address Details
Address
239 N Ridgewood Ave
City
Edgewater
State
Florida
Zip
32132-1734
Phone Number
386-427-4868
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH22515 (Florida)
Definition
Definition to come...
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