Provider Demographics
NPI:1598034605
Name:CARTER, WILLIAM EDWARD II (RAS)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:CARTER
Suffix:II
Gender:M
Credentials:RAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 17TH ST
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7628
Mailing Address - Country:US
Mailing Address - Phone:606-585-8330
Mailing Address - Fax:
Practice Address - Street 1:340 17TH ST
Practice Address - Street 2:SUITE # 2
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7628
Practice Address - Country:US
Practice Address - Phone:606-585-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI-C1112181215101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2524-5433OtherCART