Mrs Doris Ann Carroll, LMHC, MCAP is a
Counselor - Addiction (substance Use Disorder) based in Crescent City, Florida. Mrs Doris Ann Carroll is licensed to practice in Florida (license number MH12013) and her current practice location is
1125 N. Summit St., Crescent City, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 632-5663.
NPI number for Mrs Doris Ann Carroll is 1609188549 and her current mailing address is P. O. Box 626, Pomona Park, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609188549.
Healthcare Provider's Profile
| Full Name | Mrs Doris Ann Carroll |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1125 N. Summit St., Crescent City, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609188549
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 08/22/2022
Medical Identifiers
Medical identifiers for Mrs Doris Ann Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609188549 | NPI | - | NPPES |
| MH12013 | Other | FL | DEPARTMENT OF HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MH12013 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (Florida) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MH12013 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Doris Ann Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Doris Ann Carroll, LMHC, MCAP
P. O. Box 626,
Pomona Park, FL 32181
Ph: (561) 632-5663 | Mrs Doris Ann Carroll, LMHC, MCAP
1125 N. Summit St.,
Crescent City, FL 32112
Ph: (561) 632-5663 |
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