Provider Demographics
NPI:1487831731
Name:MCCOLL, CAROL Y (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:Y
Last Name:MCCOLL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 RICHARDSON DR STE 230
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4659
Mailing Address - Country:US
Mailing Address - Phone:972-310-9250
Mailing Address - Fax:
Practice Address - Street 1:1475 RICHARDSON DR STE 230
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4659
Practice Address - Country:US
Practice Address - Phone:972-310-9250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional