Carroll, Revital

Carroll, Revital is an sole proprietor health care provider with primary practice located at 326 Van Ness Ave , Santa Cruz CA 95060-3538. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Poetry Therapist, Other Service Providers / Health Educator, Other Service Providers / Lactation Consultant, Non-RN, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Nursing Service Related Providers / Doula. Nursing Service Related Providers / Doula is her primary health care specialty. Carroll, Revital can be contacted via phone (928) 713-7123.

Contact Information

Primary practice address
326 Van Ness Ave Santa Cruz CA 95060-3538
Phone: (928) 713-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Poetry Therapist 102X00000X
Other Service Providers / Health Educator 174H00000X
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1326896879
LBN Legal business name Carroll, Revital
Credentials DOULA, CMT, CEIM
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2024
Last updated May 9th, 2024 - about 6 months 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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