Denise Marie Carroll

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Negaunee, MI

NPI 1477038792 · NPPES record last updated Oct 2, 2018

Key facts

NPI
1477038792
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
104 Malton Rd
Negaunee, MI 49866-2000
Phone
(906) 228-9699
Fax
(888) 977-2109
NPI assigned
Oct 2, 2018
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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Recovery Centers Past Accepting new patients
Great Lakes Recovery Centers Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

104 Malton Rd
Negaunee, MI 49866-2000

Mailing address

97 S 4TH St Ste C
Ishpeming, MI 49849-2168
Phone (906) 228-9699

Other providers in Negaunee, MI

All providers in Negaunee, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.