Provider Demographics
NPI:1770945388
Name:CARTER, TODD ALLEN (LPCC-S, LICDC)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:ALLEN
Last Name:CARTER
Suffix:
Gender:M
Credentials:LPCC-S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 E BROAD ST STE 301
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-4037
Mailing Address - Country:US
Mailing Address - Phone:614-914-6690
Mailing Address - Fax:614-745-3344
Practice Address - Street 1:620 E BROAD ST STE 301
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215
Practice Address - Country:US
Practice Address - Phone:614-914-6690
Practice Address - Fax:614-745-3344
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0002706101YP2500X
OH991675101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)