Individual
MRS. DORIS ANN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, MCAP
Contact information
Practice address
1125 N. SUMMIT ST., CRESCENT CITY, FL 32112
(561) 632-5663
(561) 615-0045
Mailing address
P. O. BOX 626, POMONA PARK, FL 32181
(561) 632-5663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH12013
FL
101YM0800X
Mental Health Counselor
MH12013
FL
101YM0800X
Mental Health Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH12013
DEPARTMENT OF HEALTH
FL
Enumeration date
07/08/2010
Last updated
08/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us