Carroll, Kacie D

Carroll, Kacie D is an individual health care provider with primary practice located at 7217 Cameron Park Dr , Fort Smith AR 72903-6167. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Carroll, Kacie D can be contacted via phone (479) 831-6007.

Contact Information

Primary practice address
7217 Cameron Park Dr Fort Smith AR 72903-6167
Phone: (479) 831-6007
Fax: (479) 782-1242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P2207005 Arkansas

Profile Details

NPI number 1811258809
LBN Legal business name Carroll, Kacie D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated May 19th, 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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