Provider Demographics
NPI:1578164067
Name:CARVER COUNSELING SERVICES
Entity Type:Organization
Organization Name:CARVER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, ALC, NCC
Authorized Official - Phone:205-368-8915
Mailing Address - Street 1:2807 NORTH DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3517
Mailing Address - Country:US
Mailing Address - Phone:205-368-8915
Mailing Address - Fax:205-620-9298
Practice Address - Street 1:2028 KENTUCKY AVE STE 206
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1948
Practice Address - Country:US
Practice Address - Phone:205-386-2509
Practice Address - Fax:888-658-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1972160919OtherNPPES