Provider Demographics
NPI:1508424532
Name:ARNOLD, CAROLYN RAE (MA, MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:RAE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MA, MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 TAYLOR LN
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2569
Mailing Address - Country:US
Mailing Address - Phone:214-564-2891
Mailing Address - Fax:
Practice Address - Street 1:400 CHISHOLM PL STE 105
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6908
Practice Address - Country:US
Practice Address - Phone:214-564-2891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional