Provider Demographics
NPI:1811291750
Name:BALL, CAROLE BENTLEY (LPC)
Entity type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:BENTLEY
Last Name:BALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CAROLE
Other - Middle Name:BENTLEY
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:10320 WOODVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8786
Mailing Address - Country:US
Mailing Address - Phone:704-814-9893
Mailing Address - Fax:
Practice Address - Street 1:5203 SHARON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-4721
Practice Address - Country:US
Practice Address - Phone:704-554-9900
Practice Address - Fax:704-554-9956
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8312101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional