Provider Demographics
NPI:1700644044
Name:ROYA, MOERANI (LPC)
Entity type:Individual
Prefix:
First Name:MOERANI
Middle Name:
Last Name:ROYA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MOE
Other - Middle Name:
Other - Last Name:ROYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6750 VICTORIA AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8216
Mailing Address - Country:US
Mailing Address - Phone:936-666-2095
Mailing Address - Fax:
Practice Address - Street 1:6750 VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8216
Practice Address - Country:US
Practice Address - Phone:936-666-2095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93828101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional