Provider Demographics
NPI:1225862766
Name:ROY, ANGEL (LCMHC)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:ROY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:BARNET
Mailing Address - State:VT
Mailing Address - Zip Code:05821-9652
Mailing Address - Country:US
Mailing Address - Phone:802-249-1513
Mailing Address - Fax:
Practice Address - Street 1:231 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-1515
Practice Address - Country:US
Practice Address - Phone:802-748-5364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0136132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health