Individual provider · Type 1 NPI

Roman Chance Fox, RECREATION THERAPIST

Mental Health Counselor · Lutz, FL

NPI number 1396289328 Active

Practice location

17502 Fallowfield Dr
Lutz, FL 33549-5584

Call (757) 333-1112 Map

Mailing address

16727 Caracara Ct
Spring Hill, FL 34610-9011

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XPTA 26297 (FL)
Mental Health Counselor Primary 101YM0800XMH27960 (FL)
Recreation Therapist 225800000XNone listed

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About NPI 1396289328

Roman Chance Fox, RECREATION THERAPIST's National Provider Identifier is 1396289328, issued on Dec 9, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lutz, FL. The record was last updated on Jun 29, 2026.