Provider Demographics
NPI:1568248789
Name:ROPER, HARRISON ROPER BOYD (MS, LPC)
Entity Type:Individual
Prefix:
First Name:HARRISON ROPER
Middle Name:BOYD
Last Name:ROPER
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-2117
Mailing Address - Country:US
Mailing Address - Phone:254-224-5757
Mailing Address - Fax:
Practice Address - Street 1:510 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-2117
Practice Address - Country:US
Practice Address - Phone:254-224-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92718101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health