Provider Demographics
NPI:1790565992
Name:CUNNINGHAM, CARTER (NCC)
Entity Type:Individual
Prefix:
First Name:CARTER
Middle Name:
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 W LIBERTY AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2442
Mailing Address - Country:US
Mailing Address - Phone:417-408-5335
Mailing Address - Fax:
Practice Address - Street 1:3229 W LIBERTY AVE STE 206
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2319
Practice Address - Country:US
Practice Address - Phone:417-408-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health