Provider Demographics
NPI:1376269910
Name:SEXTON, CARRIE PLAYER (PHIL, MS,CTP, BS,CSC)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:PLAYER
Last Name:SEXTON
Suffix:
Gender:F
Credentials:PHIL, MS,CTP, BS,CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MISTY FOREST DR
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36869-3492
Mailing Address - Country:US
Mailing Address - Phone:229-460-2361
Mailing Address - Fax:706-287-1124
Practice Address - Street 1:3100 GENTIAN BLVD STE 8A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5639
Practice Address - Country:US
Practice Address - Phone:706-530-8756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1376269910Medicaid
GA1093978439Medicaid
GA1376269944Medicaid
AL1639838238Medicaid