Carmack, Randall

Carmack, Randall is an individual health care provider with primary practice located at 1 Elizabeth Pl Fl 3 , Dayton OH 45417-3445. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carmack, Randall can be contacted via phone (937) 815-6233.

Contact Information

Primary practice address
1 Elizabeth Pl Fl 3 Dayton OH 45417-3445
Phone: (937) 815-6233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 162422 Ohio
Other Service Providers / Peer Specialist 175T00000X APS.000660 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.2005634 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCDCIII.162264 Ohio

Profile Details

NPI number 1255849758
LBN Legal business name Carmack, Randall
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2018
Last updated May 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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