Provider Demographics
NPI:1770792558
Name:ROY, PASCALE (MA, NCC, LMHC)
Entity type:Individual
Prefix:MS
First Name:PASCALE
Middle Name:
Last Name:ROY
Suffix:
Gender:F
Credentials:MA, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 120543
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34712-0543
Mailing Address - Country:US
Mailing Address - Phone:407-256-3886
Mailing Address - Fax:352-243-9993
Practice Address - Street 1:3751 MAGUIRE BLVD
Practice Address - Street 2:SUITE 211 FLORIDA DEPT OF HEALTH BSCIP
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-256-3886
Practice Address - Fax:352-243-9993
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5640101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health