Carroll, Lisa

Carroll, Lisa is an individual health care provider with primary practice located at 1033 Larchwood Rd , Mansfield OH 44907-2424. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Carroll, Lisa can be contacted via phone (419) 747-4122.

Contact Information

Primary practice address
1033 Larchwood Rd Mansfield OH 44907-2424
Phone: (419) 747-4122
Fax: (419) 747-4126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1063164291
LBN Legal business name Carroll, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2022
Last updated Jan 19th, 2022 - about 3 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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