Provider Demographics
NPI:1477932358
Name:FERGUSON, CARLA
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 SALTY BOTTOM RD
Mailing Address - Street 2:
Mailing Address - City:GURLEY
Mailing Address - State:AL
Mailing Address - Zip Code:35748-8774
Mailing Address - Country:US
Mailing Address - Phone:334-750-5977
Mailing Address - Fax:
Practice Address - Street 1:674 HIGHLANDS RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-9566
Practice Address - Country:US
Practice Address - Phone:828-349-0001
Practice Address - Fax:828-349-0029
Is Sole Proprietor?:No
Enumeration Date:2015-05-25
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04710101YP2500X
NCA11465101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor