Provider Demographics
NPI:1073379053
Name:GARLAND, CARTER DYLAN I (BHT)
Entity Type:Individual
Prefix:MR
First Name:CARTER
Middle Name:DYLAN
Last Name:GARLAND
Suffix:I
Gender:M
Credentials:BHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 WELLNESS DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-5401
Mailing Address - Country:US
Mailing Address - Phone:304-394-4390
Mailing Address - Fax:
Practice Address - Street 1:180 WELLNESS DR
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-5401
Practice Address - Country:US
Practice Address - Phone:304-394-4390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician