Provider Demographics
NPI:1255957700
Name:AMARIS ROYE LLC
Entity type:Organization
Organization Name:AMARIS ROYE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:423-304-2545
Mailing Address - Street 1:2514 RANDOLPH PL
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 SOUTHLAND DR STE 204
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35226-3712
Practice Address - Country:US
Practice Address - Phone:205-259-6922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-21
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health