RAVEN ROYAL
NPI 1134540362
Marriage & Family Therapist in Manteca, CA

Q: What is Raven Royal's NPI number?

The NPI number for Raven Royal is 1134540362. It was assigned to this individual provider in the NPPES registry on December 13, 2013. The provider is also known as Mrs. Raven Royal Lmft.

Q: What is Raven Royal's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Royal was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2013

129 E CENTER ST STE 3, MANTECA, CA 95336(209) 239-5553 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, Oct 14, 2019, Feb 13, 2019 (3 updates tracked since 2019).

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About Raven Royal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN ROYAL (NPI 1134540362) is an individual marriage & family therapist in Manteca, California, licensed in California (134483) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1134540362

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameRAVEN ROYAL

Location Address129 E CENTER ST STE 3Manteca, CA 95336-4648

Mailing Address7404 Deltawind DrSacramento, CA 95831-5201 · (916) 218-2226

Phone(209) 239-5553

Sole ProprietorNo

Enumeration DateDecember 13, 2013

Last NPPES UpdateSeptember 6, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1134540362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 134483✔ Licensed in CA · 109H00000X✔ Licensed in CA · 109237

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

129 E CENTER ST STE 3, Manteca, CA 95336

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Other Names 1

Former Name (1)Mrs. Raven Royal Lmft

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTAL PAZ

Student in an Organized Health Care Education/Training Program