Organization
ROYAL THERAPEUTICS PSYCH LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE MCCOY APRN-CNP, PMHNP-BC (OWNER)
(513) 416-3206
Entity
Organization
Contact information
Practice address
16 N MAIN ST, WEST ALEXANDRIA, OH 45381-1191
(513) 416-3206
(517) 210-0032
Mailing address
222 QUAIL HOLLOW DR, BROOKVILLE, OH 45309-4608
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710648480
—
OH
Enumeration date
05/16/2022
Last updated
01/09/2023
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