Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Martin Carroll, CAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285965616

Mr. Timothy Martin Carroll, CAS is an Addiction (Substance Use Disorder) Counselor in Satellite Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

1127 S Patrick Dr Ste 24
Satellite Beach, FL 32937-3939
Phone: (321) 773-1111
Fax: (321) 773-1692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1205A (FL)

Record details

NPI number1285965616
Entity typeIndividual (Type 1)
GenderMale
Credentials CAS
Sole proprietorYes
NPI enumeratedJanuary 25, 2010
Last updated in NPPESJanuary 25, 2010

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