Individual provider · Type 1 NPI

Derrick Leighton Carroll, LPC

Professional Counselor · Lebanon, MO

NPI number 1245710045 Active

Practice location

860 Lynn St
Lebanon, MO 65536-3810

Mailing address

1800 Community
Clinton, MO 64735-8804

Other practice locations

  • 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 · (417) 256-9111

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2015039926 (MO)

Professional Counselor: Definition to come...

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About NPI 1245710045

Derrick Leighton Carroll, LPC's National Provider Identifier is 1245710045, issued on Aug 21, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lebanon, MO. The record was last updated on Apr 21, 2026.