| Mary L Carroll Services, Llc | |
|
14201 Laurel Park Dr Suite 226 Laurel MD 20707-5203 | |
| (301) 356-4914 | |
| (240) 554-2381 |
| Full Name | Mary L Carroll Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 14201 Laurel Park Dr, Laurel, Maryland |
| Authorized Official Name and Position | Mary Carroll (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3013564914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L Carroll Services, Llc 14201 Laurel Park Drive Suite 226 Laurel MD 20707 Ph: (301) 356-4914 | Mary L Carroll Services, Llc 14201 Laurel Park Dr Suite 226 Laurel MD 20707-5203 Ph: (301) 356-4914 |
| NPI Number | 1235472606 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235472606 | NPI | - | NPPES |
| 334425800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC4022 (Maryland) | Primary |
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