Derrick Leighton Carroll, LPC | |
860 Lynn St, Lebanon, MO 65536-3810 | |
(888) 403-1071 | |
Not Available |
Full Name | Derrick Leighton Carroll |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 860 Lynn St, Lebanon, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245710045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2015039926 (Missouri) | Primary |
Entity Name | Compass Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
Mailing Address | Practice Location Address |
---|---|
Derrick Leighton Carroll, LPC 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Derrick Leighton Carroll, LPC 860 Lynn St, Lebanon, MO 65536-3810 Ph: (888) 403-1071 |
Kajal Kaul, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1216 Deadra Dr, Lebanon, MO 65536 Phone: 417-532-7102 | |
Ms. Jerilie Marshall, LPC, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 888-403-1071 | |
Melissa Lee Bagwell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 888-403-1071 | |
Belinda Licea, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1228 Deadra Dr, Lebanon, MO 65536 Phone: 417-991-2505 | |
Morgana Hazell, PSYD Counselor Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 100, Lebanon, MO 65536 Phone: 417-820-3128 Fax: 417-820-8616 | |
Charlotte A Moore, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Crescent Dr, Lebanon, MO 65536 Phone: 417-588-5885 Fax: 417-588-4296 | |
Shelley Louise Jungen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 888-403-1071 |