Candice Marie Carroll
Individual provider Active NPI Counselor · Springville, UT
NPI 1053937110 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1053937110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2250 W Center St BLDG 1
Springville, UT 84663-4921 - Phone
- (801) 824-1025
- NPI assigned
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2250 W Center St BLDG 1
Springville, UT 84663-4921
Mailing address
2250 W Center St BLDG 1
Springville, UT 84663-4921
Phone (801) 824-1025
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.