Provider Demographics
NPI:1811214927
Name:PAULA CARROLL, M.S., LMHC, LLC
Entity Type:Organization
Organization Name:PAULA CARROLL, M.S., LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-822-2582
Mailing Address - Street 1:1525 NW 124TH ST
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8135
Mailing Address - Country:US
Mailing Address - Phone:515-822-2582
Mailing Address - Fax:
Practice Address - Street 1:309 S 7TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-1838
Practice Address - Country:US
Practice Address - Phone:515-822-2582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty