Active NPIIndividual provider

Marianne R Carroll, MA LADC

Counselor, Addiction (Substance Use Disorder) in North Windham, Connecticut

NPI Number1417056060
Practice location
387 Tuckie RD, D, North Windham, CT 06256-1355
Fax
860-423-4284
Last updated
October 1, 2014

Marianne Roberts Carroll is a Counselor, Addiction (Substance Use Disorder) based in North Windham, CT. Marianne Roberts Carroll practices in North Windham, CT and has the professional credentials of MA LADC. The NPI Number for Marianne Roberts Carroll is 1417056060 and holds a License No. 000055 (CT). The current practice location address for Marianne Roberts Carroll is 387 Tuckie RD, D, North Windham, CT 06256-1355 and can be reached out via phone at 860-423-4279 and via fax at 860-423-4284.

Provider Profile Details

NPI Number
1417056060
Provider Name
Marianne Roberts Carroll
Credential
MA LADC
Provider Entity Type
Individual
Gender
Female
Address
387 Tuckie RD, D, North Windham, CT 06256-1355
Phone Number
860-423-4279
Fax Number
860-423-4284
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2006
Last Update Date
October 1, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
387 Tuckie RD
D
North Windham, CT 06256-1355
Zip
06256-1355
Phone Number
860-423-4279
Fax Number
860-423-4284
North Windham, CT 06256Get directions →

Provider Business Mailing Address Details

Address
387 Tuckie RD
D
North Windham, CT 06256-1355
City
North Windham
State
CT
Zip
06256-1355
Phone Number
860-423-4279
Fax Number
860-423-4284

License Information

License Number
000055
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marianne R Carroll, MA LADC?

The NPI number of Marianne R Carroll, MA LADC is 1417056060. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Marianne R Carroll, MA LADC?

Marianne R Carroll, MA LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000055.

Where does Marianne R Carroll, MA LADC practice?

The practice location is 387 Tuckie RD, D, North Windham, CT 06256-1355. The office can be reached at 860-423-4279 (phone) or 860-423-4284 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417056060 directly on the NPPES registry website.

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