Larry Roach is a Mental Health in Winter Garden, Florida. Larry Roach practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Larry Roach is 1972650273. The last update date is 2007-07-08.
Larry Roach's current location address is 204 S Dillard St, Winter Garden, Florida. You can contact this provider via phone number 4077167083. The mailing address for Larry Roach is 204 S Dillard St, Winter Garden, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Roach |
|---|---|
| Address | 204 S Dillard St, Winter Garden, Florida |
| Phone Number | 4077167083 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1972650273 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 204 S Dillard St |
|---|---|
| City | Winter Garden |
| State | Florida (FL) |
| Post Code | 347873523 |
| Phone Number | 4077167083 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH6968 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code assigned to Larry Roach by the Centers for Medicare & Medicaid Services?
The Larry Roach has been issued the NPI (National Provider Identifier) 1972650273 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Larry Roach located?
The Larry Roach is located at 204 S Dillard St, Winter Garden, FL 347873523.
What is the Larry Roach's specialty and taxonomy code?
The Larry Roach's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
When did the Larry Roach receive its 1972650273?
The Larry Roach was issued its 1972650273 on 2007-01-05, which is the date when the organization was assigned this unique identifier.
When was the Larry Roach's information last updated?
The Larry Roach's information was last updated on 2007-07-08.