Carroll, Thomas Patrick
Carroll, Thomas Patrick is an individual health care provider with primary practice located at 1320 Wisconsin Ave , Racine WI 53403-1978. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Carroll, Thomas Patrick can be contacted via phone (262) 687-2222.Contact Information
Primary practice address
1320 Wisconsin Ave
Racine WI 53403-1978
Phone: (262) 687-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4208-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4208 | Wisconsin |
Profile Details
| NPI number | 1447695481 |
|---|---|
| LBN Legal business name | Carroll, Thomas Patrick |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2013 |
| Last updated | Dec 11th, 2018 - about 8 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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