MEDICARE: CARTERS CONNECTIONS COUNSELING LLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366279465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTERS CONNECTIONS COUNSELING LLC

Provider Business Mailing Address
First Line	:	350 E 1ST AVE STE 100C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3792
Country	:	US
Telephone Number	:	614-619-3029
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 E 1ST AVE STE 100C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3792
Country	:	US
Telephone Number	:	614-619-3029
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	TODD ALLEN CARTER
Credential	:	LPCC-S, LICDC
Telephone Number	:	614-619-3029

Provider Enumeration Date	:	09/14/2024
Last Update Date	:	09/14/2024

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