Provider Demographics
NPI:1679663801
Name:ARRENDELL, CARMA LISA (LPC LMFT LCDC LBSW)
Entity Type:Individual
Prefix:MS
First Name:CARMA
Middle Name:LISA
Last Name:ARRENDELL
Suffix:
Gender:F
Credentials:LPC LMFT LCDC LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6830 LENDELL ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1504
Mailing Address - Country:US
Mailing Address - Phone:210-561-1811
Mailing Address - Fax:
Practice Address - Street 1:6830 LENDELL ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1504
Practice Address - Country:US
Practice Address - Phone:210-561-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2488101YA0400X
TX6244101YP2500X
TX17830104100000X
TX002932042719106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1739LCOtherBCBS OF TX
11509595OtherCAQH
TX020284OtherMH NET
TX11509595OtherAETNA
TX271128000OtherMAGELLAN