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

Timothy D Carroll, BA

Individual provider Counselor · NPI 1205018868

Timothy D Carroll, BA is a Counselor in Providence, Rhode Island. Works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2007
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 398 Hospital Rd, Sylva, NC 28779-5196 — (828) 586-2311

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS01978 (RI)
Counselor Taxonomy 101Y00000X

Record details

NPI number1205018868
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedDecember 5, 2007
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

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