Provider Information for 1164681169
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JUANITA CARTER LCSW
Sex: Female
NPI: 1164681169
Last Updated: 2019-07-25
Certification Date:
Certification Date:
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1164681169 | ||||||||
Enumeration Date | 2008-06-04 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 395 CLINTON, LA 70722-0395 United States Phone: 225-683-5292 | Fax:225-683-1310 | ||||||||
Primary Practice Address | 29437 HWY 63, STE. 14 LIVINGSTON, LA 70754 United States Phone: 225-283-1356 | Fax:225-283-1705 | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|