Healthcare Provider Details

I. General information

NPI: 1750672184
Provider Name (Legal Business Name): DARLENE ROYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 06/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 SANDSTONE CANYON ST
HENDERSON NV
89012
US

IV. Provider business mailing address

1076 SANDSTONE CANYON ST
HENDERSON NV
89012-2425
US

V. Phone/Fax

Practice location:
  • Phone: 702-544-5596
  • Fax:
Mailing address:
  • Phone: 702-544-5596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMI0354
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: