Organization
CENTER OF SERENITY
Active
Other names
ROSEMARY CARROLL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY C CARROLL LPC (LICENSED PROFESSIONAL COUNSELOR)
(248) 515-8480
Entity
Organization
Contact information
Practice address
1623 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 515-8480
Mailing address
1623 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 515-8480
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
CC-YPV570150363
MI
251S00000X
Community/Behavioral Health Agency
Primary
6401010654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9544995
AETNA
—
Enumeration date
09/19/2012
Last updated
09/14/2015
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