Crystal Marie Carroll, BA

Individual provider Active NPI Mental Health Counselor · Decatur, AL

NPI 1194160366 · NPPES record last updated May 3, 2013

Key facts

NPI
1194160366
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
4110 US Highway 31 S
Decatur, AL 35603-1644
Phone
(256) 260-7361
Fax
(256) 341-0747
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of North Central Alabama Inc. Past
since May 6, 1996
Accepting new patients
Mental Health Center of North Central Alabama Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

4110 US Highway 31 S
Decatur, AL 35603-1644

Mailing address

1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
Phone (256) 260-7361

Other names

  • Crystal Marie Case Former name

Other providers in Decatur, AL

All providers in Decatur, AL · Mental Health Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.