Healthcare Provider Details

I. General information

NPI: 1003779828
Provider Name (Legal Business Name): ROYA HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 E MAIN ST STE 102
MESA AZ
85203-8950
US

IV. Provider business mailing address

1345 E MAIN ST STE 104
MESA AZ
85203-8950
US

V. Phone/Fax

Practice location:
  • Phone: 480-300-4741
  • Fax:
Mailing address:
  • Phone: 480-300-4741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN MCNEAL
Title or Position: MANAGER
Credential:
Phone: 678-642-3532