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STEPHANIE ROYALS LPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1962972455
Individual Registrant: STEPHANIE ROYALS LPC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
302 E OGEECHEE ST SYLVANIA, GA 30467-2403 US
Tel: 912-564-7825 Fax: 478-289-2683
Tel: 912-564-7825 Fax: 478-289-2683
Contact information for business:
PO BOX 1259 SWAINSBORO, GA 30401-1259 US
Tel: 478-289-2683 Fax: 478-289-2798
Tel: 478-289-2683 Fax: 478-289-2798
Registration Information:
NPI: 1962972455
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | GA | 010413 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000606383E | GA | 05 |
