Doctor Name: | CARRIE MAYS |
NPI Number: | 1043609191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4760 Sepulvda Blvd. Culver City, CA - 90230 |
Business Phone Number: | 3103906612 |
Business Fax Number: | 3103985690 |
Mailing Address: | 512 Grace Ave Apt 3, INGLEWOOD |
State: | CA |
Postal Code: | 903011339 |
Phone Number: | 8703974835 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2015 |
NPI Last Update Date: | 01/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |