MEDICARE: ROYA HEALTH, LLC

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	251S00000X	Community/Behavioral Health Agency
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1003779828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYA HEALTH, LLC

Provider Business Mailing Address
First Line	:	1345 E MAIN ST STE 104
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-8950
Country	:	US
Telephone Number	:	480-300-4741
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 E MAIN ST STE 102
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-8950
Country	:	US
Telephone Number	:	480-300-4741
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JOHN MCNEAL
Credential	:
Telephone Number	:	678-642-3532

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ROYA HEALTH, LLC ” Practice Location

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