Carroll, Angela Y

Carroll, Angela Y is an individual health care provider with primary practice located at 1050 Ribaut Rd , Beaufort SC 29902-5400. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Carroll, Angela Y can be contacted via phone (843) 524-3378.

Contact Information

Primary practice address
1050 Ribaut Rd Beaufort SC 29902-5400
Phone: (843) 524-3378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 5560 South Carolina

Profile Details

NPI number 1366753147
LBN Legal business name Carroll, Angela Y
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Jun 14th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366753147 NPPES
South Carolina MEDICAID 121328

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