Individual
MR. RODERICK ROYAL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9428 BROOKLINE AVE STE 2, BATON ROUGE, LA 70809-1428
(504) 444-3329
Mailing address
9418 BOOKLINE AVE STE A, BATON ROUGE, LA 70809-1428
(225) 372-2693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743219772
—
LA
Enumeration date
06/14/2017
Last updated
09/12/2025
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