Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roy Vivian Tellis, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205140035

Roy Vivian Tellis, CASAC is an Addiction (Substance Use Disorder) Counselor in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

255 Ave W
Brooklyn, NY 11223-5202
Phone: (866) 569-7233
Fax: (718) 336-6815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 16918 (NY)

Record details

NPI number1205140035
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorYes
NPI enumeratedAugust 4, 2010
Last updated in NPPESAugust 4, 2010

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