Carroll, Autumn

Carroll, Autumn is an sole proprietor health care provider with primary practice located at 1151 Dove St , Newport Beach CA 92660-2840. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Carroll, Autumn can be contacted via phone (949) 630-8290.

Contact Information

Primary practice address
1151 Dove St Newport Beach CA 92660-2840
Phone: (949) 630-8290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1508572504
LBN Legal business name Carroll, Autumn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2023
Last updated Jan 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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