Provider Demographics
NPI:1366336885
Name:CAROL L HUNTINGTON LCSW LLC
Entity type:Organization
Organization Name:CAROL L HUNTINGTON LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HUNTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-713-3633
Mailing Address - Street 1:121 BOWERY ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2816
Mailing Address - Country:US
Mailing Address - Phone:207-751-3363
Mailing Address - Fax:207-443-5777
Practice Address - Street 1:121 BOWERY ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2816
Practice Address - Country:US
Practice Address - Phone:207-751-3363
Practice Address - Fax:207-443-5777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health