Doctor Name: | PATTI P CARTER |
NPI Number: | 1265673305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, MAC |
License Number: | LPC004304 |
Business Practice Address: | 4774 Autumn Rose Trl Oakwood, GA - 305662424 |
Business Phone Number: | 7705408149 |
Business Fax Number: | |
Mailing Address: | 4774 Autumn Rose Trl, OAKWOOD |
State: | GA |
Postal Code: | 305662424 |
Phone Number: | 7705408149 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2009 |
NPI Last Update Date: | 03/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC004304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |