MRS. DORIS ANN CARROLL (NPI# 1609188549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609188549 |
| Entity Type | Individual |
| Full Name | MRS. DORIS ANN CARROLL |
| Credential | LMHC |
| Practice Address |
1489 N Military Trl Suite 216 West Palm Beach FL 33409-6029 |
| Mailing Address |
1489 N Military Trl Ste 114 West Palm Beach FL 33409-6057 |
| Practice Telephone | 5616325663 |
| Practice Fax Number | 5616150045 |
| Mailing Telephone | 5616325663 |
| Mailing Fax Number | 5616150045 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH12013 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH12013 | FL | Behavioral Health & Social Service Providers |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEPARTMENT OF HEALTH | MH12013 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245288133 | Doris M. Carroll | Registered Nurse | 895 State Farm Rd, Suite 508, Boone, NC 28607-4917 | 2006-05-04 |
| Street Address |
1489 N MILITARY TRL SUITE 216 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164550844 | Citadel Chiropractic II, P.a. | Chiropractor | 1489 N Military Trl, Suite 202, West Palm Beach, FL 33409-6029 | 2007-03-02 |
| 1588038772 | Palm Beach Medical Partners LLC | General Practice | 1489 N Military Trl, Suite 114, West Palm Beach, FL 33409-6029 | 2015-11-25 |
| 1326424326 | Time Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1489 N Military Trl, #114, West Palm Beach, FL 33409-6029 | 2015-08-03 |
| 1053713016 | Yasmine Dominique | Counselor | 1489 N Military Trl, Suite 209, West Palm Beach, FL 33409-6029 | 2014-09-22 |
| 1891133807 | New Hope Treatment Center | Clinic/Center | 1489 N Military Trl, West Palm Beach, FL 33409-6029 | 2013-06-12 |
| 1104162007 | In-house Diagnostic Services, Inc. | Clinic/Center | 1489 N Military Trl, Suite # 217, West Palm Beach, FL 33409-6029 | 2012-12-20 |
| 1710231840 | In-house Diagnostic Services Inc | Physiological Laboratory | 1489 N Military Trl, Ste 217, West Palm Beach, FL 33409-6057 | 2012-10-26 |
| 1992059026 | In-house Diagnostic Services Inc | Physiological Laboratory | 1489 N Military Trl, Ste 217, West Palm Beach, FL 33409-6029 | 2012-10-26 |
| 1336492792 | In-house Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1489 N Military Trl, Ste 217, West Palm Beach, FL 33409-6029 | 2012-10-23 |
| 1528389418 | Jean Mercius | Counselor | 1489 N Military Trl, West Palm Beach, FL 33409-6029 | 2010-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| Find all providers in zip 33409 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062362 | Sigridur Irizarry | Counselor | 400 Executive Center Dr Ste 106, West Palm Beach, FL 33401-2919 | 2019-09-18 |
| 1417431289 | The Healing & Wellness Center LLC | Counselor | 2715 N Australian Ave Ste 101, West Palm Beach, FL 33407-4500 | 2018-09-18 |
| 1285125633 | Alice Mcdonald | Counselor | 600 Executive Center Dr Apt 106, West Palm Beach, FL 33401-4938 | 2018-05-22 |
| 1417451907 | Recovery Coaches of Palm Beaches LLC | Counselor | 2377 Lena Ln, West Palm Beach, FL 33415-7276 | 2018-03-20 |
| 1376053165 | Jessica Boff | Counselor | 801 Northpoint Pkwy Ste 88, West Palm Beach, FL 33407-1812 | 2017-10-05 |
| 1679021133 | Theresa Olson | Counselor | 1640 Presidential Way, Apt A301, West Palm Beach, FL 33401-1859 | 2016-09-13 |
| 1730546862 | Domus Leonum LLC | Counselor | 1551 Forum Place, Building 400 Suite D/e, West Palm Beach, FL 33401-5505 | 2016-01-20 |
| 1255728465 | Michael Seville Jr. | Counselor | 1675 40th St, West Palm Beach, FL 33407-3641 | 2015-04-26 |
| 1710373972 | Jessie Huebner | Counselor | 224 Datura St Ste 1015, West Palm Beach, FL 33401-5638 | 2015-04-14 |
| 1336547546 | Stacy Jo Poffenbarger | Counselor | 726 Selkirk St, West Palm Beach, FL 33405-3136 | 2014-12-22 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on MRS. DORIS ANN 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.