Individual
MS. MAUREEN ELLEN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 SOUTH MARKET ST, SUITE 203, BRENHAM, TX 77833
(979) 830-7170
(979) 830-7170
Mailing address
4714 HOLLY STREET, BELLAIRE, TX 77401
(713) 839-9448
(713) 660-6713
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20195
TX
104100000X
Social Worker
20195
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063J2
BLUE CROSS BLUE SHIELD
—
01
—
7109430000
MAGELLAN
—
Enumeration date
01/30/2007
Last updated
09/11/2025
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