| Doctor Name: | MR. CARY BRENT CARTER |
| NPI Number: | 1295751766 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 1191-C |
| Business Practice Address: | 1716 W Searcy St Heber Springs, AR - 725433532 |
| Business Phone Number: | 8665331763 |
| Business Fax Number: | 5013626499 |
| Mailing Address: | Po Box 2578, 25 Gap Road BATESVILLE |
| State: | AR |
| Postal Code: | 725032578 |
| Phone Number: | 8707938959 |
| Fax Number: | 8707938959 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1191-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |