Provider Demographics
NPI:1851850028
Name:CARTER, KEVIN LAMONT (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LAMONT
Last Name:CARTER
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 GREENBRIER DR STE 206
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1695
Mailing Address - Country:US
Mailing Address - Phone:434-220-0333
Mailing Address - Fax:
Practice Address - Street 1:335 GREENBRIER DR STE 206
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1695
Practice Address - Country:US
Practice Address - Phone:434-220-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health