CARROLL L. ACKLEY LADC, CCS – NPI #1952709529
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CARROLL ACKLEY is an AHC clinic located in BANGOR, ME. NPPES has assigned the NPI number 1952709529 to CARROLL ACKLEY on December 15, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARROLL ACKLEY below.

NPI Profile for
CARROLL L. ACKLEY

NPI Number
1952709529
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CARROLL L. ACKLEY
Credentials
LADC, CCS
Primary location
74 DOWD RD
BANGOR, ME 04401-6700
Phone: (207) 947-6800 Fax: (207) 947-6872
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2800X
- Clinic/Center / Methadone (Primary)
ME LC1222

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.