Provider Demographics
NPI:1720365307
Name:CARTER, SCOTT MICHAEL (CMHC)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:MICHAEL
Last Name:CARTER
Suffix:
Gender:M
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12465 S FORT ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-9021
Mailing Address - Country:US
Mailing Address - Phone:385-202-4174
Mailing Address - Fax:
Practice Address - Street 1:12465 S FORT ST
Practice Address - Street 2:SUITE 250
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-9021
Practice Address - Country:US
Practice Address - Phone:385-202-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2016-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health