Healthcare Provider Details

I. General information

NPI: 1841387834
Provider Name (Legal Business Name): CARROLL E ARKEMA M.DIV., LMFT, LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PROSPECT ST
RIDGEWOOD NJ
07450-4404
US

IV. Provider business mailing address

221 RINGWOOD AVE A 3
POMPTON LAKES NJ
07442-2072
US

V. Phone/Fax

Practice location:
  • Phone: 201-444-9484
  • Fax:
Mailing address:
  • Phone: 973-839-2420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FI00158900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number000637
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: