Provider Demographics
NPI:1255868220
Name:CARROLL INSTITUTE
Entity Type:Organization
Organization Name:CARROLL INSTITUTE
Other - Org Name:CARROLL COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEIGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-271-3441
Mailing Address - Street 1:5625 S SOUTHEASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8600
Mailing Address - Country:US
Mailing Address - Phone:605-271-3441
Mailing Address - Fax:605-271-4809
Practice Address - Street 1:5625 S SOUTHEASTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8600
Practice Address - Country:US
Practice Address - Phone:605-271-3441
Practice Address - Fax:605-271-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty