Provider Demographics
NPI:1770363111
Name:CARR, OSCAR (JD, MS, NCC)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:CARR
Suffix:
Gender:M
Credentials:JD, MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 LOCKETT PL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3923
Mailing Address - Country:US
Mailing Address - Phone:901-372-0710
Mailing Address - Fax:901-726-4600
Practice Address - Street 1:1713 LOCKETT PL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3923
Practice Address - Country:US
Practice Address - Phone:901-372-0710
Practice Address - Fax:901-726-4600
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN706969101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health