Doctor Name: | ANGELA Y CARROLL |
NPI Number: | 1366753147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC-I |
License Number: | 5356 |
Business Practice Address: | 2879 Highway 160 W Suite 4388 Fort Mill, SC - 297088581 |
Business Phone Number: | 8035263288 |
Business Fax Number: | |
Mailing Address: | 2879 Highway 160 W, Suite 4388 FORT MILL |
State: | SC |
Postal Code: | 297088581 |
Phone Number: | 8035263288 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2010 |
NPI Last Update Date: | 09/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5356 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |