| Lydia T. Roy | |
|
3921 Independence Dr Ste 101 Alexandria LA 71303-3566 | |
| (318) 528-8717 | |
| (318) 528-8865 |
| Full Name | Lydia T. Roy |
|---|---|
| Speciality | Counselor |
| Location | 3921 Independence Dr Ste 101, Alexandria, Louisiana |
| Authorized Official Name and Position | Lydia T. Roy (OWNER) |
| Authorized Official Contact | 3185288717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia T. Roy 3921 Independence Dr Ste 101 Alexandria LA 71303-3566 Ph: (318) 528-8717 | Lydia T. Roy 3921 Independence Dr Ste 101 Alexandria LA 71303-3566 Ph: (318) 528-8717 |
| NPI Number | 1093580243 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 3476905845 |
|---|---|
| Medicare Enrollment ID | O20240122002102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093580243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lydia Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740431568 PECOS PAC ID: 4385096759 Enrollment ID: I20240128000088 |
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