Provider Demographics
NPI:1881400810
Name:CARRIED FAMILY THERAPY- THE CARRIER GROUP
Entity type:Organization
Organization Name:CARRIED FAMILY THERAPY- THE CARRIER GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:559-862-8212
Mailing Address - Street 1:4703 N GRANTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93723-9406
Mailing Address - Country:US
Mailing Address - Phone:559-862-8212
Mailing Address - Fax:559-573-7150
Practice Address - Street 1:1616 W SHAW AVE STE D7
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3513
Practice Address - Country:US
Practice Address - Phone:559-862-8212
Practice Address - Fax:559-573-7150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty