Provider Demographics
NPI:1336863885
Name:CARTER, ERICA KRISTINE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:KRISTINE
Last Name:CARTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:KRISTINE
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:204 LIGHTHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-2143
Mailing Address - Country:US
Mailing Address - Phone:443-866-9533
Mailing Address - Fax:
Practice Address - Street 1:2727 ULMERTON RD STE 210
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-3369
Practice Address - Country:US
Practice Address - Phone:883-488-3255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20128101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty