MEDICARE: CARLA M HARPER MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1356007561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA M HARPER MA

Provider Business Mailing Address
First Line	:	2030 MONTREAT PKWY
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-3908
Country	:	US
Telephone Number	:	205-242-3608
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 MONTREAT PKWY
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-3908
Country	:	US
Telephone Number	:	205-242-3608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2021
Last Update Date	:	11/11/2021

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