Provider Demographics
NPI:1558489005
Name:CARLE, CAROL NASR (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:NASR
Last Name:CARLE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:NASR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:14 LEADBEATER ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-2630
Mailing Address - Country:US
Mailing Address - Phone:646-425-8890
Mailing Address - Fax:
Practice Address - Street 1:14 LEADBEATER ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22305-2630
Practice Address - Country:US
Practice Address - Phone:646-425-8890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2246101YM0800X
VA0701004581101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health