Provider Demographics
NPI:1467672626
Name:FALGOUT, ROY FRANCIS I (LMFT)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:FRANCIS
Last Name:FALGOUT
Suffix:I
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815J BOX 218 ARENDELL STREET
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28557
Mailing Address - Country:US
Mailing Address - Phone:252-248-9870
Mailing Address - Fax:252-247-9871
Practice Address - Street 1:147 NC HIGHWAY 24
Practice Address - Street 2:SUITE 105
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-8982
Practice Address - Country:US
Practice Address - Phone:225-224-7987
Practice Address - Fax:252-247-9871
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC885106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6105111Medicaid