Provider Demographics
NPI:1841663721
Name:OVARD, CARRIE LYNN (MS, LCMHC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:LYNN
Last Name:OVARD
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:LYNN
Other - Last Name:LINDBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CARRIE LYNN OVARD
Mailing Address - Street 1:4791 S CROSSROADS DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-3047
Mailing Address - Country:US
Mailing Address - Phone:406-431-0893
Mailing Address - Fax:
Practice Address - Street 1:4791 S CROSSROADS DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-3047
Practice Address - Country:US
Practice Address - Phone:406-431-0893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12749863-6004101YM0800X
UT12749863-3904106H00000X
UT9177974-6009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty