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DR. THEODORE L CARROLL PHD LMHC NCC NPI 1962021212


NPI Information

NPI: 1962021212
Provider Name: DR. THEODORE L CARROLL, PHD, LMHC, NCC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
603 KNIGHT ST STE D
RICHLAND, WA
ZIP 99352
Phone: (509) 870-7853
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DR. Theodore L Carroll, PHD, LMHC, NCC is a marriage family therapist in Richland, WA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. DR. Theodore L Carroll, PHD, LMHC, NCC NPI is 1962021212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

603 KNIGHT ST STE D
RICHLAND, WA
ZIP 99352-800
Phone: (509) 870-7853
Fax: (509) 943-2129

The enumeration date for this NPI number is 4/15/2020 and was last updated on 11/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorLH61050462WASHINGTONNo
2106H00000XMarriage & Family TherapistMG60947452WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MG60947452OTHERWASHINGTONLICENSING CREDENTIALS
2LH61050462OTHERWASHINGTONLICENSING CREDENTIALS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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