Carroll Care Management Llc | |
2005 Audubon Dr Ann Arbor MI 48103-6183 | |
(734) 649-3065 | |
(734) 665-8079 |
Full Name | Carroll Care Management Llc |
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Speciality | Community/Behavioral Health |
Location | 2005 Audubon Dr, Ann Arbor, Michigan |
Authorized Official Name and Position | Andrea Michelle Carroll (OWNER/DIRECTOR) |
Authorized Official Contact | 7346493065 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carroll Care Management Llc 2005 Audubon Dr Ann Arbor MI 48103-6183 Ph: (734) 649-3065 | Carroll Care Management Llc 2005 Audubon Dr Ann Arbor MI 48103-6183 Ph: (734) 649-3065 |
NPI Number | 1699010405 |
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Provider Enumeration Date | 12/05/2012 |
Last Update Date | 12/05/2012 |
Medicare PECOS PAC ID | 4082859582 |
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Medicare Enrollment ID | O20130405000038 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699010405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 6801084228 (Michigan) | Primary |
Provider Name | Andrea M Carroll |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427121177 PECOS PAC ID: 9537126016 Enrollment ID: I20041216000216 |
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