Provider Demographics
NPI:1700918216
Name:CARTER-HARGROVE, ANNE ELIZABETH (PHD, MFT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ELIZABETH
Last Name:CARTER-HARGROVE
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 PYRAMID WAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-4494
Mailing Address - Country:US
Mailing Address - Phone:775-742-1235
Mailing Address - Fax:775-425-0921
Practice Address - Street 1:1001 PYRAMID WAY
Practice Address - Street 2:SUITE 202
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4494
Practice Address - Country:US
Practice Address - Phone:775-742-1235
Practice Address - Fax:775-425-0921
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0548101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health