Roach, Brett Reagan

Roach, Brett Reagan is an sole proprietor health care provider with primary practice located at 4800 Pleasant Hill Dr Suite 201, Roanoke VA 24018-3406. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Roach, Brett Reagan can be contacted via phone (540) 989-1383.

Contact Information

Primary practice address
4800 Pleasant Hill Dr Suite 201 Roanoke VA 24018-3406
Phone: (540) 989-1383
Fax: (540) 989-8092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001950 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000107 Virginia

Profile Details

NPI number 1043390255
LBN Legal business name Roach, Brett Reagan
Credentials L.P.C., L.M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Dec 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043390255 NPPES
Virginia Other 038449 ANTHEM/BCBS

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