Provider Demographics
NPI:1740003342
Name:CARTER, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HWY 68 CR 41 PRIVATE DR 1098
Mailing Address - Street 2:
Mailing Address - City:VELARDE
Mailing Address - State:NM
Mailing Address - Zip Code:87582
Mailing Address - Country:US
Mailing Address - Phone:505-852-6709
Mailing Address - Fax:
Practice Address - Street 1:HWY 68 CR 41 PRIVATE DR 1098
Practice Address - Street 2:
Practice Address - City:VELARDE
Practice Address - State:NM
Practice Address - Zip Code:87582
Practice Address - Country:US
Practice Address - Phone:505-852-6709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2024-0329101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health