EVI MICHELLE CARRILLO
Counselor (Mental Health)

Address: 15 Macdonough St Ste 3b, Brooklyn, NY 11216-2303

EVI MICHELLE CARRILLO (NPI# 1306437025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306437025
Entity Type Individual
Full Name EVI MICHELLE CARRILLO
Gender Female
Practice Address 15 Macdonough St Ste 3b
Brooklyn
NY 11216-2303
Practice Telephone 3474751676
Mailing Address 15 Macdonough St Ste 3b
Brooklyn
NY 11216-2303
Mailing Telephone 3474751676
Certification Date 2021-01-27
Enumeration Date 2021-01-27
Last Update Date 2021-01-27
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
P107272 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY COMMERCIAL INSURANCE P107272 Other

Office Location

Street Address 15 MACDONOUGH ST STE 3B
City BROOKLYN
State NY
Zip Code 11216-2303

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1598250086 Hope Lakeisha Garvin Social Worker 763-765 Nostrand Ave, Brooklyn, NY 11216 2018-06-27
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1033648621 Yaneth Lombana Social Worker · Clinical 1399 Pacific St. 2nd Floor, Brooklyn, NY 11216 2017-06-07
1922495944 James Leroy Barry Robinson Jr. Social Worker 3 Macdonough St Apt 4l, Brooklyn, NY 11216 2015-04-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982295135 William Tyler Ritchey 231 Norman Avenue Suite 212, Brooklyn, NY 11222 2021-01-31
1003407206 Obaogodara Oluwasanmi 1600 Fulton St Apt 10f, Brooklyn, NY 11213-1361 2021-01-30
1669062741 Bella Holzkenner 93 Rapelye St Apt 2h, Brooklyn, NY 11231-2630 2021-01-21
1710577218 Paris Lynn Williams 888 E 95th St Apt 2, Brooklyn, NY 11236-2065 2021-01-19
1578153078 Negesti Tsion Milton 10603 Flatlands Ave Apt 1c, Brooklyn, NY 11236-2922 2021-01-19
1376132936 Haley Nicole Lindquist 227 Malcolm X Blvd Apt 2, Brooklyn, NY 11221-2196 2021-01-18
1952990038 Leah Golda Franczoz 1184 43rd St, Brooklyn, NY 11219-1215 2021-01-13
1265020903 Individual Path, LLC 201 Crown St Apt 4j, Brooklyn, NY 11225-2139 2021-01-07
1598353500 Goldie Landau 1764 E 29th St, Brooklyn, NY 11229-2517 2021-01-05
1609464015 Iva Svancarova 8732 26th Ave # 2, Brooklyn, NY 11214-5407 2021-01-02
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Competitor

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City BROOKLYN
Zip Code 11216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.