Provider Demographics
NPI:1558003939
Name:THE CARTER EDUCATIONAL DEVELOPMENT GROUP LLC
Entity Type:Organization
Organization Name:THE CARTER EDUCATIONAL DEVELOPMENT GROUP LLC
Other - Org Name:THE CARTER PSYCHOTHERAPY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENEALIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:703-517-1866
Mailing Address - Street 1:3213 DUKE ST # 607
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4533
Mailing Address - Country:US
Mailing Address - Phone:703-517-1866
Mailing Address - Fax:
Practice Address - Street 1:1463 HIGHVIEW LN #412
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311
Practice Address - Country:US
Practice Address - Phone:703-517-1866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty