Doctor Name: | CAROL RUTH EVERHART |
NPI Number: | 1306921697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C6554 |
Business Practice Address: | 3612b Baker Blvd Baker, LA - 707142513 |
Business Phone Number: | 2257781100 |
Business Fax Number: | 2257781199 |
Mailing Address: | 10901 Bernice Dr, DENHAM SPRINGS |
State: | LA |
Postal Code: | 707060319 |
Phone Number: | 2257781100 |
Fax Number: | 2257781199 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C6554 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |