Healthcare Provider Details
I. General information
NPI: 1649162934
Provider Name (Legal Business Name): ROQ'STAR SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2025
Last Update Date: 07/19/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
955 CEDARVIEW DR
CEDAR HILL TX
75104-2573
US
IV. Provider business mailing address
1817 MEYERWOOD LN S
FLOWER MOUND TX
75028-7311
US
V. Phone/Fax
- Phone: 214-673-2161
- Fax:
- Phone: 214-673-2161
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACQUEL
LYNN
STERLING
Title or Position: MANAGER
Credential:
Phone: 214-673-2161