Provider Demographics
NPI:1659947364
Name:STROMAN, ROANNA
Entity Type:Individual
Prefix:
First Name:ROANNA
Middle Name:
Last Name:STROMAN
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:PO BOX 942325
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31141-2325
Mailing Address - Country:US
Mailing Address - Phone:678-778-6333
Mailing Address - Fax:
Practice Address - Street 1:2101 RIDGEBROOK WAY NE # 2101
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-8022
Practice Address - Country:US
Practice Address - Phone:404-939-3632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA012104101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health