Provider Demographics
NPI:1184139818
Name:CARTER, NEKITA DENISE (CLINICIAN)
Entity type:Individual
Prefix:MISS
First Name:NEKITA
Middle Name:DENISE
Last Name:CARTER
Suffix:
Gender:F
Credentials:CLINICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2735 KAYLA CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-4183
Mailing Address - Country:US
Mailing Address - Phone:404-450-7769
Mailing Address - Fax:
Practice Address - Street 1:2735 KAYLA CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-4183
Practice Address - Country:US
Practice Address - Phone:404-450-7769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0071191041C0700X
GA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA46-379932OtherEMPLOYEE IDENTIFICATIONNUMBER