Provider Demographics
NPI:1124562467
Name:CARTER, RAMON ANTHONY
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:ANTHONY
Last Name:CARTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 PALMISANO BLVD
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-1546
Mailing Address - Country:US
Mailing Address - Phone:504-782-5515
Mailing Address - Fax:
Practice Address - Street 1:1406 ESPLANADE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-1803
Practice Address - Country:US
Practice Address - Phone:504-304-4097
Practice Address - Fax:504-218-7962
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health