Provider Demographics
NPI:1568497170
Name:METCALFE, CAROL L (LPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:L
Last Name:METCALFE
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 1:4233 NE COUNTY ROAD 1040
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75109-5040
Mailing Address - Country:US
Mailing Address - Phone:469-767-7868
Mailing Address - Fax:
Practice Address - Street 1:4233 NE COUNTY ROAD 1040
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75109-5040
Practice Address - Country:US
Practice Address - Phone:469-767-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17487101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1496317-02Medicaid