Carroll, Lynn Rae

Carroll, Lynn Rae is an individual health care provider with primary practice located at 415 Water St , Ellsworth ME 04605-2116. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Carroll, Lynn Rae can be contacted via phone (207) 667-5357.

Contact Information

Primary practice address
415 Water St Ellsworth ME 04605-2116
Phone: (207) 667-5357
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LMHC - 0097841 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC3486 Maine
Behavioral Health & Social Service Providers / Social Worker 104100000X LS3891 Maine

Profile Details

NPI number 1124198270
LBN Legal business name Carroll, Lynn Rae
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jan 24th, 2012 - about 12 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 1124198270 NPPES
New Mexico MEDICAID 17384265

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