Provider Demographics
NPI:1326402918
Name:CARRIER, HAROLD RAY III (LPCA)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:RAY
Last Name:CARRIER
Suffix:III
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 CAVALIER BLVD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-5121
Mailing Address - Country:US
Mailing Address - Phone:859-474-2777
Mailing Address - Fax:
Practice Address - Street 1:71 CAVALIER BLVD
Practice Address - Street 2:SUITE 325
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-5121
Practice Address - Country:US
Practice Address - Phone:859-474-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYLPCCCA00223125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21751127OtherLAST FOUR OF SOCIAL SECURITY NUMBER AND FIRST FOUR NUMBERS OF BIRTHDAY