Provider Information for 1568036150
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
CARLA LEE RAWLS LPC, NCC, NCSC
Sex: Female
NPI: 1568036150
Last Updated: 2023-03-07
Certification Date: 2023-03-07
Certification Date: 2023-03-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568036150 | ||||||||
| Enumeration Date | 2021-05-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5891 U S HIGHWAY 49 STE 60-119 HATTIESBURG, MS 39402-2810 United States Phone: 601-336-0805 | Fax: | ||||||||
| Primary Practice Address | 607 CORINNE ST STE C3 HATTIESBURG, MS 39401-3852 United States Phone: 601-336-0805 | Fax: | ||||||||
| Secondary Practice Address(es) | 103 MILLCREEK CORS | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|