Organization
NABHCO, LLC
Active
Other names
NABHCO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATONYA JANETT CARROLL DNP, APRN.CNP (OWNER)
(877) 318-0934
Entity
Organization
Contact information
Practice address
2686 CROSSROADS PLAZA DR., COLUMBUS, OH 43219-3442
(877) 318-0934
(888) 831-0965
Mailing address
1391 W 5TH AVE # 241, COLUMBUS, OH 43212-2902
(877) 318-0934
(888) 831-0965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391040
—
OH
Enumeration date
12/25/2019
Last updated
06/05/2024
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