DR. KATTRINA ROACH PHD NPI 1568837870

NPI Information

NPI: 1568837870
Provider Name: DR. KATTRINA ROACH, PHD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
8829 CENTRE ST
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 280-5758
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DR. Kattrina Roach, PHD is a professional counselor in Southaven, MS. DR. Kattrina Roach, PHD NPI is 1568837870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8829 CENTRE ST
SOUTHAVEN, MS
ZIP 38671-610
Phone: (662) 280-5758
Fax: (662) 280-5708

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2041	MISSISSIPPI	No
2	101YM0800X	Counselor	Mental Health	2041	MISSISSIPPI	No
3	101YP2500X	Counselor	Professional	2041	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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