# CARROLL PSYCHOTHERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790640225
- **Authorized official:** KELSEY CARROLL LCSW- PIP (PROVIDER/OWNER)
- **Authorized official phone:** (605) 865-4105

## Contact information

- **Practice address:** 510 MAIN AVE STE 7, BROOKINGS, SD 57006-2010
- **Practice address phone:** (605) 865-4105
- **Practice address fax:** (605) 443-1320
- **Mailing address:** 510 MAIN AVE STE 7, BROOKINGS, SD 57006-2010
- **Mailing address phone:** (605) 865-4105
- **Mailing address fax:** (605) 443-1320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2025
- **Last updated:** 12/17/2025
