Smith, Carroll Paul

Smith, Carroll Paul is an sole proprietor health care provider with primary practice located at 720 Avignon Dr Suite 3, Ridgeland MS 39157-5166. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Carroll Paul can be contacted via phone (601) 259-6714.

Contact Information

Primary practice address
720 Avignon Dr Suite 3 Ridgeland MS 39157-5166
Fax: (601) 605-2710
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C0876 Mississippi

Profile Details

NPI number 1013206606
LBN Legal business name Smith, Carroll Paul
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2011
Last updated Apr 4th, 2011 - about 14 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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