CHARLES CARROLL CMHT
NPI 1396224051
Counselor - Mental Health in Mccomb, MS
Active since August 13, 2018
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
Other Identifiers 1
Medicaid00018209MS
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396224051, enumerated as an "individual" on August 13, 2018.
The provider is located at 1701 WHITE ST MCCOMB, MS 39648 and the phone number is (601) 249-4214.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.