Provider Demographics
NPI:1720024011
Name:CARTER, BARBARA L (LMHC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:L
Last Name:CARTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 WILLIS AVE
Mailing Address - Street 2:DAYTONA BEACH
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-2810
Mailing Address - Country:US
Mailing Address - Phone:386-236-1638
Mailing Address - Fax:386-236-3164
Practice Address - Street 1:1220 WILLIS AVE
Practice Address - Street 2:DAYTONA BEACH
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2810
Practice Address - Country:US
Practice Address - Phone:386-236-1638
Practice Address - Fax:386-236-3164
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3867174400000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ044FOtherBLUE CROSS BLUE SHIELD