Amy Carroll
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ringgold, GA
NPI 1780154633 · NPPES record last updated Dec 4, 2018
Key facts
- NPI
- 1780154633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4539G (AL)
- Practice address
- 4083 Cloud Springs Rd
Ringgold, GA 30736-8411 - Phone
- (706) 820-6087
- NPI assigned
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4539G | AL | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4539G | AL | Yes |
Addresses
Primary practice location
4083 Cloud Springs Rd
Ringgold, GA 30736-8411
Mailing address
4083 Cloud Springs Rd
Ringgold, GA 30736-8411
Other providers in Ringgold, GA
- Care Counseling of Georgia
- Caremax Pharmacy of Loudon, Inc
- Pamela Ann Cargle
- Grace Carlson
- Monica Lynn Burruss Carney
- Chloe Carson
- Jacqueline Casey
- Venessa Gay Cates
- Catoosa Behavior Health and Wellness Clinic LLC
- Catoosa County Board of Heatlh
All providers in Ringgold, GA · Addiction (Substance Use Disorder) Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2018. 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.