DALLAS RAY CARROLL (NPI# 1225354376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225354376 |
| Entity Type | Individual |
| Full Name | DALLAS RAY CARROLL |
| Credential | CDP |
| Practice Address |
260 Flyaway Rd Castle Rock WA 98611-9128 |
| Mailing Address |
Po Box 2562 Longview WA 98632-8607 |
| Practice Telephone | 3604311929 |
| Mailing Telephone | 3604311929 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2014-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60112671 | WA | Behavioral Health & Social Service Providers |
| Street Address |
260 FLYAWAY RD |
| City | CASTLE ROCK |
| State | WA |
| Zip Code | 98611-9128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942568522 | Almost Angels Home Care Agency, LLC | In Home Supportive Care | 211 Front Ave Sw, Castle Rock, WA 98611 | 2012-05-02 |
| 1922204866 | Emma V Torres Baltazar Md Pllc | Family Medicine | 606 Se Roake Avenue, Castle Rock, WA 98611 | 2007-06-26 |
| 1417002064 | Crystal L Davis | Massage Therapist | 139 1st Ave. Sw, Castle Rock, WA 98611 | 2007-01-24 |
| 1134284060 | Pt Northwest of Longview Inc | Physical Therapist | 20 Cowlitz, Castle Rock, WA 98611 | 2006-12-22 |
| 1306857800 | Castle Rock Pharmacy Inc | Pharmacy | 117 1st Sw, Castle Rock, WA 98611 | 2006-08-10 |
| 1619901592 | Emma V. Torres-baltazar | Family Medicine | 606 Se Roake St. / Avenue, Castle Rock Medical Clinic, Castle Rock, WA 98611 | 2006-07-10 |
| 1427005164 | Gregory Loren Finkas | Chiropractor | 1254 Mt St Helens Way Ne, Suite E, Castle Rock, WA 98611 | 2006-05-28 |
| 1164490058 | City of Castle Rock | Ambulance | 146 A Street Sw, Castle Rock, WA 98611 | 2006-03-08 |
| 1962496083 | Beverly M Search | Registered Nurse | 139 1st Ave Sw, Castle Rock, WA 98611 | 2005-09-02 |
| 1235623844 | Tina M Pond | Registered Nurse | 2232 S Silver Lake Rd, Castle Rock, WA 98611 | 2018-06-18 |
| Find all providers in zip 98611 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295113751 | Melinda Conn | Counselor | 2232 S Silver Lake Rd, Castle Rock, WA 98611-8021 | 2015-05-15 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1528094513 | James Franklin Pontius | Counselor | 1189 S Perry St Ste 110b, Castle Rock, CO 80104 | 2006-06-23 |
| 1356377584 | Julie B Beam | Counselor | 801 S Perry St #130, Castle Rock, CO 80104 | 2006-06-22 |
| 1184689176 | Harold T Stewart | Counselor | 1076 Switch Grass Dr, Castle Rock, CO 80109-3529 | 2006-04-20 |
| 1962016493 | Arapahoe Mental Health Center, Inc | Counselor | 831 S Perry St, Castle Rock, CO 80104-1919 | 2020-09-02 |
| 1396243473 | Katherine Ann Afuola | Counselor | 2232 S Silver Lake Rd, Castle Rock, WA 98611-8021 | 2018-01-24 |
| 1376058750 | Barbie Sutton | Counselor | 831 S Perry St Ste 100, Castle Rock, CO 80104 | 2017-12-07 |
| 1376058859 | Desiree Marie Burk | Counselor | 831 S Perry St, Castle Rock, CO 80104-1919 | 2017-12-06 |
| 1528437324 | Lynda Jean Mclaughlin | Counselor | 2232 S Silver Lake Rd, Castle Rock, WA 98611-8021 | 2015-09-22 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 98611 |
Please comment or provide details below to improve the information on DALLAS RAY CARROLL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.