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NPI Code Detail

MEDICARE: ANNA CARROLL

MEDICARE: ANNA CARROLL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1073465076
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA CARROLL
Provider Business Mailing Address
First Line : 707 E JENKINS AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1318
Country : US
Telephone Number : 803-730-8918
Fax Number :
Provider Business Practice Location Address
First Line : 707 E JENKINS AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1318
Country : US
Telephone Number : 803-730-8918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ ANNA CARROLL ” Practice Location

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