EVI MICHELLE CARRILLO NPI 1306437025

NPI Information

NPI: 1306437025
Provider Name: EVI MICHELLE CARRILLO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
15 MACDONOUGH ST STE 3B
BROOKLYN, NY
ZIP 11216
Phone: (347) 475-1676
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Evi Michelle Carrillo is a mental health counselor in Brooklyn, NY. Evi Michelle Carrillo NPI is 1306437025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 MACDONOUGH ST STE 3B
BROOKLYN, NY
ZIP 11216-303
Phone: (347) 475-1676

The enumeration date for this NPI number is 1/27/2021 and was last updated on 1/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	P107272	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P107272	OTHER	NEW YORK	COMMERCIAL INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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