Provider Demographics
NPI:1700905254
Name:CAROL N WIARD
Entity Type:Organization
Organization Name:CAROL N WIARD
Other - Org Name:PERSPECTIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:N
Authorized Official - Last Name:WIARD
Authorized Official - Suffix:
Authorized Official - Credentials:CAP
Authorized Official - Phone:352-237-7712
Mailing Address - Street 1:3304 SW 34TH CIRCLE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-3314
Mailing Address - Country:US
Mailing Address - Phone:352-237-7712
Mailing Address - Fax:352-237-8363
Practice Address - Street 1:3304 SW 34TH CIRCLE
Practice Address - Street 2:SUITE 202
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-3314
Practice Address - Country:US
Practice Address - Phone:352-237-7712
Practice Address - Fax:352-237-8363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1342AD8149101Y00000X
FL590101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty