Provider Demographics
NPI:1376041194
Name:ROBINSON-ROY, AUDREY LEE
Entity Type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:LEE
Last Name:ROBINSON-ROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 HONEYSUCKLE DR
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:LA
Mailing Address - Zip Code:70079-2195
Mailing Address - Country:US
Mailing Address - Phone:504-274-7008
Mailing Address - Fax:985-764-4416
Practice Address - Street 1:2140 SAINT BERNARD AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-1613
Practice Address - Country:US
Practice Address - Phone:504-943-1857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health