Hallbilsback, Mariah Carroll

Hallbilsback, Mariah Carroll is an individual health care provider with primary practice located at 4130 46Th St 4B , Sunnyside NY 11104-7063. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hallbilsback, Mariah Carroll can be contacted via phone (508) 561-4247.

Contact Information

Primary practice address
4130 46Th St 4B Sunnyside NY 11104-7063
Phone: (508) 561-4247
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 095251-01 New York
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 107600-01 New York

Profile Details

NPI number 1912489204
LBN Legal business name Hallbilsback, Mariah Carroll
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2018
Last updated Sep 28th, 2023 - about last year

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 1912489204 NPPES
New York Other 095251-01 LCSW
New York Other 107600-01 LCSW

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