Provider Demographics
NPI:1578693867
Name:FOUCH, ROY E (PHD, LPCC)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:E
Last Name:FOUCH
Suffix:
Gender:M
Credentials:PHD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 FINCH LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2426
Mailing Address - Country:US
Mailing Address - Phone:513-575-3303
Mailing Address - Fax:
Practice Address - Street 1:5750 GATEWAY
Practice Address - Street 2:STE 103
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1894
Practice Address - Country:US
Practice Address - Phone:513-779-7400
Practice Address - Fax:513-779-7426
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0000888101YM0800X, 101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health