National Provider Identifier

Christine Marinda Carroll, LMHC

Christine Marinda Carroll, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Romulus, NY and a listed phone number of (585) 764-4254.

NPI 1710586599Romulus, NYMental Health Counselor

Profile Overview

NPI
1710586599
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 22, 2020
Last Updated
October 22, 2020

Practice Location

  • 4697 Kings Corners RD
  • Romulus, NY 14541-9771

Phone: (585) 764-4254

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1710586599
Entity Type
Individual
Last Name
Carroll
First Name
Christine
Middle Name
Marinda
Credential
LMHC
Mailing Street Address
4697 Kings Corners RD
Mailing City
Romulus
Mailing State
NY
Mailing ZIP Code
14541-9771
Mailing Country
US
Mailing Phone
(585) 764-4254
Practice Street Address
4697 Kings Corners RD
Practice City
Romulus
Practice State
NY
Practice ZIP Code
14541-9771
Practice Country
US
Practice Phone
(585) 764-4254
Enumeration Date
October 22, 2020
Last Updated
October 22, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
October 22, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)