Individual
MISS KYLIE NICOLE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5401 ROGERS AVE STE 201, FORT SMITH, AR 72903-3763
(479) 242-4560
(479) 242-4561
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1802014
AR
101YP2500X
Professional Counselor
Primary
P2101136
AR
Other
Enumeration date
02/27/2018
Last updated
03/10/2021
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