Provider Demographics
NPI:1689755225
Name:CARLBERG, ANITA BETH (LPC)
Entity Type:Individual
Prefix:MISS
First Name:ANITA
Middle Name:BETH
Last Name:CARLBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2232 INDIANA AVE
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-2139
Mailing Address - Country:US
Mailing Address - Phone:806-793-6160
Mailing Address - Fax:806-799-0825
Practice Address - Street 1:2232 INDIANA AVE
Practice Address - Street 2:SUITE ONE
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2139
Practice Address - Country:US
Practice Address - Phone:806-793-6160
Practice Address - Fax:806-799-0825
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12233101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional