Mary Theodora Carroll in Venice - Mental Health
Mary Theodora Carroll - NPI 1962565697
Mary Theodora Carroll is a Mental Health in Venice, Florida. Mary Theodora Carroll practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Theodora Carroll is 1962565697. The last update date is 2007-07-08.
Mary Theodora Carroll's current location address is 173 Venice Palms Blvd, Venice, Florida. You can contact this provider via phone number 9414123947 and fax number 9414123957. The mailing address for Mary Theodora Carroll is 173 Venice Palms Blvd, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Theodora Carroll |
|---|---|
| Address | 173 Venice Palms Blvd, Venice, Florida |
| Phone Number | 9414123947 |
| Fax Number | 9414123957 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1962565697 |
|---|---|
| Provider Enumeration Date | 2006-12-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 173 Venice Palms Blvd |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342922447 |
| Phone Number | 9414123947 |
| Fax Number | 9414123957 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH0002776 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Mary Theodora Carroll by the Centers for Medicare & Medicaid Services?
The Mary Theodora Carroll has been assigned the NPI (National Provider Identifier) 1962565697 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mary Theodora Carroll is geographically located?
The Mary Theodora Carroll is physically situated at the following location: 173 Venice Palms Blvd, Venice, FL, 342922447.
What is the area of specialization for Mary Theodora Carroll, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Theodora Carroll is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did Mary Theodora Carroll receive its 1962565697 assignment from the Centers for Medicare & Medicaid Services?
The Mary Theodora Carroll was assigned its 1962565697 on 2006-12-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mary Theodora Carroll, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Theodora Carroll, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.