Individual
CARLY ELAINE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC, ATR, LASOP
Contact information
Practice address
303 S MAIN ST, TROY, IL 62294-1808
(618) 899-0956
(618) 505-0785
Mailing address
303 S MAIN ST, TROY, IL 62294-1808
(618) 899-0956
(618) 505-0785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2023028221
MO
101YP2500X
Professional Counselor
Primary
18018028
IL
221700000X
Art Therapist
24-632
IL
Other
Enumeration date
09/08/2025
Last updated
03/02/2026
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