Provider Demographics
NPI:1558900977
Name:CARPE DIEM BEHAVIORAL HEALTH & COUNSELING, PLLC.
Entity Type:Organization
Organization Name:CARPE DIEM BEHAVIORAL HEALTH & COUNSELING, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHUONG
Authorized Official - Middle Name:LAN
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-681-7492
Mailing Address - Street 1:9312 BOWFIELD DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-6291
Mailing Address - Country:US
Mailing Address - Phone:254-681-7492
Mailing Address - Fax:
Practice Address - Street 1:9312 BOWFIELD DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-6291
Practice Address - Country:US
Practice Address - Phone:254-681-7492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty