Provider Demographics
NPI:1407331879
Name:CARTER, EMMA SHEARER (LPC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:SHEARER
Last Name:CARTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 CARRIAGE WAY LN
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3647
Mailing Address - Country:US
Mailing Address - Phone:770-913-7443
Mailing Address - Fax:
Practice Address - Street 1:4045 ORCHARD RD SE STE 520
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4900
Practice Address - Country:US
Practice Address - Phone:770-913-7443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011718101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional