Provider Demographics
NPI:1972125854
Name:ROMAN, EMILY F (LMSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:F
Last Name:ROMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 S LANTANA CIR
Mailing Address - Street 2:
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-8080
Mailing Address - Country:US
Mailing Address - Phone:346-223-9336
Mailing Address - Fax:
Practice Address - Street 1:224 S LANTANA CIR
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-8080
Practice Address - Country:US
Practice Address - Phone:346-223-9336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68458104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker