Provider Demographics
NPI:1134419856
Name:ROYSTER & ROYSTER, PLLC
Entity type:Organization
Organization Name:ROYSTER & ROYSTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALORIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ROYSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:712-225-5344
Mailing Address - Street 1:204 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-1853
Mailing Address - Country:US
Mailing Address - Phone:712-225-5344
Mailing Address - Fax:888-375-5343
Practice Address - Street 1:204 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1853
Practice Address - Country:US
Practice Address - Phone:712-225-5344
Practice Address - Fax:888-375-5343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty