Provider Demographics
NPI:1801216510
Name:CARTER, SALLY HUIE (LPCC)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:HUIE
Last Name:CARTER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-3475
Mailing Address - Fax:870-347-1165
Practice Address - Street 1:2200 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3256
Practice Address - Country:US
Practice Address - Phone:270-575-3247
Practice Address - Fax:270-442-7335
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY273611101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional