Provider Demographics
NPI:1568850287
Name:OAKS, CARRIE R (MS, LPC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:R
Last Name:OAKS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:R
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:5112 MEANDERING CREEK CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-4259
Mailing Address - Country:US
Mailing Address - Phone:817-929-4212
Mailing Address - Fax:
Practice Address - Street 1:5112 MEANDERING CREEK CT
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-4259
Practice Address - Country:US
Practice Address - Phone:817-929-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63145101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional