TYRA LARA ROY NPI 1972257509

NPI Information

  • NPI: 1972257509
  • Provider Name: TYRA LARA ROY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 239 N RIDGEWOOD AVE
    EDGEWATER, FL
    ZIP 32132
  • Phone: (386) 427-4868

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NPI Details

Tyra Lara Roy is a mental health counselor in Edgewater, FL. Tyra Lara Roy NPI is 1972257509. 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:

239 N RIDGEWOOD AVE
EDGEWATER, FL
ZIP 32132-734
Phone: (386) 427-4868

The enumeration date for this NPI number is 2/11/2022 and was last updated on 8/22/2023.

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
1101YM0800XCounselorMental HealthMH22515FLORIDAYes

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: 11/21/2025

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