CHARLES CARROLL CMHT
NPI 1396224051
Counselor - Mental Health in Mccomb, MS

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since August 13, 2018

1701 WHITE ST, MCCOMB, MS 39648(601) 249-4214(601) 249-4234 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 10, 2021, Aug 13, 2018 (2 updates tracked since 2018).

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About Charles Carroll Cmht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES CARROLL CMHT (NPI 1396224051) is an individual mental health provider in Mccomb, Mississippi and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1396224051

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCHARLES CARROLLCredential: CMHT

Location Address1701 WHITE STMccomb, MS 39648

Mailing Address1701 White St, Po Box 769Mccomb, MS 39648 · (601) 249-4214 · Fax (601) 249-4234

Phone(601) 249-4214

Fax(601) 249-4234

Sole ProprietorNo

Enumeration DateAugust 13, 2018

Last NPPES UpdateMay 10, 20212 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1396224051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1701 WHITE ST, Mccomb, MS 39648

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Other Identifiers 1

Medicaid00018209MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODY MCINTYRE PHD, LMFT

Marriage & Family Therapist