Provider Demographics
NPI:1891706198
Name:CARTER, TWANNA GAIL (LPC, CRC, HS-BCP)
Entity Type:Individual
Prefix:MS
First Name:TWANNA
Middle Name:GAIL
Last Name:CARTER
Suffix:
Gender:F
Credentials:LPC, CRC, HS-BCP
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 774
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-0774
Mailing Address - Country:US
Mailing Address - Phone:205-222-5127
Mailing Address - Fax:205-621-2682
Practice Address - Street 1:517 18TH ST N
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-4843
Practice Address - Country:US
Practice Address - Phone:205-222-5127
Practice Address - Fax:205-621-2682
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3073101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional