ANDREW BRANTLEY CARROLL (NPI# 1609387455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609387455 |
Entity Type | Individual |
Full Name | ANDREW BRANTLEY CARROLL |
Credential | MS |
Practice Address |
435 Clark Rd Jacksonville FL 32218-5596 |
Mailing Address |
1972 Wages Way S Jacksonville FL 32218-8062 |
Practice Telephone | 9047650665 |
Mailing Telephone | 9044001080 |
Enumeration Date | 2017-10-19 |
Last Update Date | 2017-10-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043214877 | Andrew John Pham Carroll | Family Medicine | 333 N Dobson Rd, Suite 15, Chandler, AZ 85224 | 2005-06-09 |
1932639952 | Andrew Carroll | Physical Medicine & Rehabilitation | 16835 Deer Creek Dr Ste 120, Spring, TX 77379-5803 | 2017-06-13 |
1790959286 | Andrew Carroll | Psychologist | 5028 Wisconsin Ave Nw, Ste 405, Washington, DC 20016-4118 | 2008-04-16 |
Street Address |
435 CLARK RD |
City | JACKSONVILLE |
State | FL |
Zip Code | 32218-5596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124243480 | Sharon D. Barber | Counselor | 435 Clark Rd, Suite 412-7, Jacksonville, FL 32218-5596 | 2007-04-13 |
1649781881 | Tiffany Lynroy Bolton | Counselor | 435 Clark Rd, Jacksonville, FL 32218-5596 | 2017-10-16 |
1154849032 | Tamesha Aliste Harper | Social Worker | 435 Clark Rd, Jacksonville, FL 32218-5596 | 2017-08-31 |
1316462708 | Ethan M Sincoff | Counselor | 435 Clark Rd, Jacksonville, FL 32218-5596 | 2017-08-07 |
1497285290 | Alfonso Respess | Counselor | 435 Clark Rd, Jacksonville, FL 32218 | 2017-06-14 |
1881120632 | Shamondy Weathers | Social Worker | 435 Clark Rd, Ste 107, Jacksonville, FL 32218-5596 | 2017-05-11 |
1083152722 | Kristyn Bradley | Counselor | 435 Clark Rd, Ste 107, Jacksonville, FL 32218-5596 | 2017-02-02 |
1255879995 | Chelsea S Pope | Counselor | 435 Clark Rd, Ste 107, Jacksonville, FL 32218-5596 | 2017-02-02 |
1023567393 | Shaquille Hilton | Social Worker | 435 Clark Rd, Suite 107, Jacksonville, FL 32218-5596 | 2016-09-28 |
1346799970 | Aisha Gordon | Social Worker | 435 Clark Rd, Suite 107, Jacksonville, FL 32218-5596 | 2016-09-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
Find all providers in zip 32218 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32218 |
Please comment or provide details below to improve the information on ANDREW BRANTLEY 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.