Provider Demographics
NPI:1083097398
Name:BROYLES, ROBERT CHRISTOPHER (MS, LPC-S, LCPC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHRISTOPHER
Last Name:BROYLES
Suffix:
Gender:M
Credentials:MS, LPC-S, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7204 RED CEDAR CT
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-7601
Mailing Address - Country:US
Mailing Address - Phone:214-326-0737
Mailing Address - Fax:833-222-3602
Practice Address - Street 1:7204 RED CEDAR CT
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-7601
Practice Address - Country:US
Practice Address - Phone:214-326-0737
Practice Address - Fax:833-222-3602
Is Sole Proprietor?:No
Enumeration Date:2015-07-06
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC6582101YP2500X
TX71875101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional