MEDICARE: ROSLYNN NYANHONGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	92342	TX

General Provider Information

NPI Number	:	1720915150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSLYNN NYANHONGO

Provider Business Mailing Address
First Line	:	117 FIERY SKIPPER LN
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-3012
Country	:	US
Telephone Number	:	512-541-5280
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 CHISHOLM TRAIL RD STE 506
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-2970
Country	:	US
Telephone Number	:	512-677-9345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ ROSLYNN NYANHONGO ” Practice Location

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