- Practice location
- 74 Dowd RD, Bangor, ME 04401-6700
- Phone
- 207-947-6800
- Fax
- 207-947-6872
- Last updated
- December 15, 2014
Carroll L Ackley is a Clinic/Center, Methadone Clinic based in Bangor, ME. Carroll L Ackley practices in Bangor, ME and has the professional credentials of LADC, CCS. The NPI Number for Carroll L Ackley is 1952709529 and holds a License No. LC1222 (ME). The current practice location address for Carroll L Ackley is 74 Dowd RD, Bangor, ME 04401-6700 and can be reached out via phone at 207-947-6800 and via fax at 207-947-6872.
Provider Profile Details
- NPI Number
- 1952709529
- Provider Name
- Carroll L Ackley
- Credential
- LADC, CCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 74 Dowd RD, Bangor, ME 04401-6700
- Phone Number
- 207-947-6800
- Fax Number
- 207-947-6872
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 15, 2014
- Last Update Date
- December 15, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Dowd RD
Bangor, ME 04401-6700 - City
- Bangor
- State
- Maine
- Zip
- 04401-6700
- Phone Number
- 207-947-6800
- Fax Number
- 207-947-6872
Provider Business Mailing Address Details
- Address
- 74 Dowd RD
Bangor, ME 04401-6700 - City
- Bangor
- State
- ME
- Zip
- 04401-6700
- Phone Number
- 207-947-6800
- Fax Number
- 207-947-6872
License Information
- License Number
- LC1222
- License State
- ME
- Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Carroll L Ackley, LADC, CCS?
The NPI number of Mr. Carroll L Ackley, LADC, CCS is 1952709529. It was assigned on December 15, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Carroll L Ackley, LADC, CCS?
Mr. Carroll L Ackley, LADC, CCS is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in ME under license number LC1222.
Where does Mr. Carroll L Ackley, LADC, CCS practice?
The practice location is 74 Dowd RD, Bangor, ME 04401-6700. The office can be reached at 207-947-6800 (phone) or 207-947-6872 (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 1952709529 directly on the NPPES registry website.