MEDICARE: DR. THOMAS DONNELLY CARLIN EDD,NCSP, LCPC

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
1	101YM0800X	Mental Health Counselor	LCPC 392	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	740413	OTHER	MT	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1154390466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS DONNELLY CARLIN EDD,NCSP, LCPC

Provider Business Mailing Address
First Line	:	11 FRIENDSHIP LN
Second Line	:	SUITE 201
City	:	MONTANA CITY
State	:	MT
Zip	:	59634-9804
Country	:	US
Telephone Number	:	406-449-5555
Fax Number	:	406-442-8090

Provider Business Practice Location Address
First Line	:	11 FRIENDSHIP LN
Second Line	:	SUITE 201
City	:	MONTANA CITY
State	:	MT
Zip	:	59634-9804
Country	:	US
Telephone Number	:	406-449-5555
Fax Number	:	406-442-8090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1013986348 — DR. MICHAEL A EMERSON PH.D.
Practice Location Address:

11 FRIENDSHIP LN , SUITE 202
MONTANA CITY, MT
59634-9804

Practice Phone: 406-495-0956
Practice Fax: 406-442-8090

1134305220 — DR. THOMAS LEE MORGAN O.D.
Practice Location Address:

9804 JARBOE ST
KANSAS CITY, MO
64114-3850

Practice Phone: 816-941-0994
Practice Fax:

1285870956 — XIAOLI WEN M.S. BCBA
Practice Location Address:

9804 MADELAINE CT
ELLICOTT CITY, MD
21042-4918

Practice Phone: 410-979-7999
Practice Fax: 410-480-8281

1639489347 — UBAC ENTERPRISES, LLC
Practice Location Address:

9804 BOOTH AVE
KANSAS CITY, MO
64134-1810

Practice Phone: 816-765-7794
Practice Fax: 816-765-7794

1124323506 — COLUMBIA ADVANCED SCIENCE, LC
Practice Location Address:

9804 MADELAINE CT
ELLICOTT CITY, MD
21042-4918

Practice Phone: 410-979-7999
Practice Fax: 410-480-8281

1811264310 — MS. ASHLEY YVETTE PARKER-JACKSON M.A. BHRS
Practice Location Address:

9804 CHESTERTON PL , 9804 CHESTERTON PLACE
OKLAHOMA CITY, OK
73120-3611

Practice Phone: 405-474-3999
Practice Fax:

Directions to “ DR. THOMAS DONNELLY CARLIN EDD,NCSP, LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.