Mossford-Carroll, Melissa

Mossford-Carroll, Melissa is an individual health care provider with primary practice located at 23 Rybar Ln , Palm Coast FL 32164-6445. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mossford-Carroll, Melissa can be contacted via phone (386) 586-6658.

Contact Information

Primary practice address
23 Rybar Ln Palm Coast FL 32164-6445
Phone: (386) 586-6658
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH6790 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1760614713
LBN Legal business name Mossford-Carroll, Melissa
Credentials BCBA; LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2009
Last updated Sep 29th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760614713 NPPES
Florida MEDICAID 105642800
Florida MEDICAID 019240300
Florida MEDICAID 108326300
Florida MEDICAID 106672600
Florida MEDICAID 017749900

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