| Doctor Name: | JOSHUA ROOP |
| NPI Number: | 1205201613 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC, NCC, CAP |
| License Number: | MH13451 |
| Business Practice Address: | 151 107th Ave Suite 13 Treasure Island, FL - 337064734 |
| Business Phone Number: | 7279543908 |
| Business Fax Number: | |
| Mailing Address: | 151 107th Ave, Suite 13 TREASURE ISLAND |
| State: | FL |
| Postal Code: | 337064734 |
| Phone Number: | 7279543908 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2015 |
| NPI Last Update Date: | 12/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH13451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |