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General NPI Number Information
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NPI Number | 1285769745
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Entity Type | Individual
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Provider Name | CAROL STROUD BAGWELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 111 SNEED DR
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City | CLYDE
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State | NC
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Zip | 28721-8468
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Country | US
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Telephone | 828-627-9254
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Fax | 828-627-8811
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Provider Business Mailing Address
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Address Line | PO BOX 338 204 IDOL DRIVE
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City | THOMASVILLE
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State | NC
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Zip | 27361-0338
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Country | US
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Telephone | 336-474-1276
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Fax | 336-472-4605
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C0001897
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C0001897
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License Number State | NC
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