KAWANZA ROACH
NPI 1891230579
Counselor - Addiction (Substance Use Disorder) in Dallas, GA

Active since January 04, 2017
233 SILVER SPRING ST, DALLAS, GA 30157(678) 670-9639 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kawanza Roach NPPES

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

KAWANZA ROACH (NPI 1891230579) is an individual addiction (substance use disorder) provider in Dallas, Georgia and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1891230579
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKAWANZA ROACH
Location Address233 SILVER SPRING STDallas, GA 30157-8289
Mailing Address233 Silver Spring StDallas, GA 30157-8289
Sole ProprietorYes
Enumeration DateJanuary 4, 2017
NPI 1891230579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
233 SILVER SPRING ST, Dallas, GA 30157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kawanza Roach's NPI number?

The NPI number for Kawanza Roach is 1891230579. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Kawanza Roach located?

Kawanza Roach practices at 233 Silver Spring St, Dallas, GA 30157. The listed phone number is (678) 670-9639.

What is Kawanza Roach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kawanza Roach was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.