Provider Demographics
NPI:1154477792
Name:STERLING, CAROL A (MA)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:STERLING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:A
Other - Last Name:STERLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:2900 FRANK SCOTT PKWY W
Mailing Address - Street 2:SUITE 956-A
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-5000
Mailing Address - Country:US
Mailing Address - Phone:618-624-5796
Mailing Address - Fax:618-234-7233
Practice Address - Street 1:2900 FRANK SCOTT PKWY W
Practice Address - Street 2:SUITE 956-A
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62223-5000
Practice Address - Country:US
Practice Address - Phone:618-624-5796
Practice Address - Fax:618-234-7233
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health