Provider Demographics
NPI:1053062364
Name:CARTER, TIARA A (MA, NCC, LGPC)
Entity Type:Individual
Prefix:
First Name:TIARA
Middle Name:A
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA, NCC, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 14TH ST NW STE 700
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3477
Mailing Address - Country:US
Mailing Address - Phone:202-838-9280
Mailing Address - Fax:
Practice Address - Street 1:1012 14TH ST NW STE 700
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3477
Practice Address - Country:US
Practice Address - Phone:202-638-0750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC200001292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health