Individual ProviderCarol Rv ToddCounselorBehavioral Health & Social Service ProvidersPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138(219) 476-3190PECOS EnrollmentBased on the most recent information from CMS, provider Carol Rv Todd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1245432673Provider TypeIndividualFull NameTodd, Carol RvCredentialMA, LMHCGenderFemaleSole ProprietorNoEnumeration Date6/5/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 476-3190Fax(219) 477-5646Mailing LocationMailing Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 476-3190Fax(219) 477-5646Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense99026973AIndiana