Provider Demographics
NPI:1760350433
Name:IBIS-ROLEY, SCARLET Z (IFEC-TMPH, RPF-I)
Entity type:Individual
Prefix:MS
First Name:SCARLET
Middle Name:Z
Last Name:IBIS-ROLEY
Suffix:
Gender:F
Credentials:IFEC-TMPH, RPF-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-3315
Mailing Address - Country:US
Mailing Address - Phone:707-499-5538
Mailing Address - Fax:
Practice Address - Street 1:1812 CLIFF AVE
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-3315
Practice Address - Country:US
Practice Address - Phone:707-499-5538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82FEE64FD4171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach