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

Tyra Lara Roy

Individual provider Mental Health Counselor · NPI 1972257509

Tyra Lara Roy is a Mental Health Counselor in Edgewater, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

239 N Ridgewood Ave
Edgewater, FL 32132-1734
Phone: (386) 427-4868
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH22515 (FL)

Record details

NPI number1972257509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 11, 2022
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address239 N Ridgewood Ave, Edgewater, FL 32132-1734

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