Carroll, Amanda R
Carroll, Amanda R is an sole proprietor health care provider with primary practice located at 1515 Doctors Dr Ste 4 , Bossier City LA 71111. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carroll, Amanda R can be contacted via phone (318) 703-6200.Contact Information
Primary practice address
1515 Doctors Dr Ste 4
Bossier City LA 71111
Phone: (318) 703-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11022 | Louisiana |
Profile Details
| NPI number | 1215301833 |
|---|---|
| LBN Legal business name | Carroll, Amanda R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2015 |
| Last updated | Jun 2nd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215301833 | NPPES |
| Louisiana | MEDICAID | 1215301833 |
Popular Providers
-
Brogden, Debra Ann
3018 Old Minden Rd Suite 1111, Bossier City LA 71112-2476 -
Kinsey, Destiney Ceionna
2604 Benton Rd Apt 309 , Bossier City LA 71111-2345 -
Crawford, Joni Marie
2285 Benton Rd Suite 101-A, Bossier City LA 71111-7933 -
Blue, Jenita
1000 Chinaberry Dr Ste 900 , Bossier City LA 71111-2455 -
Shine, Lasheka
3018 Old Minden Rd Ste 1111A , Bossier City LA 71112-2476 -
Boling, Jackie
401 Jordan Dr , Bossier City LA 71112-4079 -
Rhine, Crystal
3018 Old Minden Rd Ste 1200 , Bossier City LA 71112-2476 -
Robinson, Jerdine
2105 Venus Dr , Bossier City LA 71112-4425