Provider Demographics
NPI:1093491037
Name:ROYCE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ROYCE COUNSELING SERVICES, LLC
Other - Org Name:ROYCE COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHONA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:ROYCE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:606-669-4968
Mailing Address - Street 1:1714 PERRYVILLE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-9008
Mailing Address - Country:US
Mailing Address - Phone:606-669-4968
Mailing Address - Fax:
Practice Address - Street 1:1714 PERRYVILLE RD STE 3
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-9008
Practice Address - Country:US
Practice Address - Phone:606-669-4968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty