Provider Demographics
NPI:1558889964
Name:CARTER CARE SERVICES INCORPORATED
Entity Type:Organization
Organization Name:CARTER CARE SERVICES INCORPORATED
Other - Org Name:CARTER CARE THERAPEUTIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGENA
Authorized Official - Middle Name:LORINE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-648-0700
Mailing Address - Street 1:400 CONTINENTAL BLVD FL 6
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-5074
Mailing Address - Country:US
Mailing Address - Phone:310-648-0700
Mailing Address - Fax:610-554-5662
Practice Address - Street 1:400 CONTINENTAL BLVD FL 6
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5074
Practice Address - Country:US
Practice Address - Phone:310-648-0700
Practice Address - Fax:310-554-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
CA93514106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty