Provider Demographics
NPI:1922574003
Name:CARTER'S COMPASSIONATE COUNSEL
Entity Type:Organization
Organization Name:CARTER'S COMPASSIONATE COUNSEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEICHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-668-1221
Mailing Address - Street 1:320 REMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-2872
Mailing Address - Country:US
Mailing Address - Phone:601-668-1221
Mailing Address - Fax:769-241-5101
Practice Address - Street 1:320 REMINGTON DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-2872
Practice Address - Country:US
Practice Address - Phone:601-668-1221
Practice Address - Fax:769-241-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty