Provider Demographics
NPI:1326154030
Name:ARRINGTON, CAROL JONELL (MMFT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:JONELL
Last Name:ARRINGTON
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4479
Mailing Address - Country:US
Mailing Address - Phone:936-564-4064
Mailing Address - Fax:936-564-1570
Practice Address - Street 1:903 NORTH ST
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4479
Practice Address - Country:US
Practice Address - Phone:936-639-6512
Practice Address - Fax:936-639-2302
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005044-042364106H00000X
TX5044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCJA-8565BHOtherBLUE CROSS/BLUE SHIELD
TX1639072-01Medicaid