LARAE ROACH NPI 1962914416

NPI Information

NPI: 1962914416
Provider Name: LARAE ROACH
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1074 WASSERMAN WAY
BATAVIA, OH
ZIP 45103
Phone: (513) 354-5200
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Larae Roach is an addiction (substance use disorder) counselor in Batavia, OH. Larae Roach NPI is 1962914416. 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:

1074 WASSERMAN WAY
BATAVIA, OH
ZIP 45103-911
Phone: (513) 354-5200

The enumeration date for this NPI number is 10/24/2017 and was last updated on 10/24/2017.

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)	LCDC.131227-3	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LCDC.131227-3	OTHER	OHIO	LICENSURE

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: 4/28/2024

NPI Synchronization or Removal

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