Individual provider · Type 1 NPI

Samantha Carroll, LPC

Professional Counselor · Decatur, IL

NPI number 1629830211 Active

Practice location

151 N Main St
Decatur, IL 62523-1206

Fax (217) 362-6290

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X179.019203 (IL)

Professional Counselor: Definition to come...

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About NPI 1629830211

Samantha Carroll, LPC's National Provider Identifier is 1629830211, issued on Jan 29, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Sep 30, 2025.