Provider Demographics
NPI:1730249228
Name:WINTLE, CAROL (LMHC)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:WINTLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:691 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4905
Mailing Address - Country:US
Mailing Address - Phone:617-823-7070
Mailing Address - Fax:617-489-1737
Practice Address - Street 1:14 PORTER ST
Practice Address - Street 2:
Practice Address - City:EAST BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128-2116
Practice Address - Country:US
Practice Address - Phone:617-823-7070
Practice Address - Fax:617-489-1737
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2016-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health