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NPI Code Detail

MEDICARE: AMY LYNN CARTER LPC

MEDICARE: AMY LYNN CARTER LPC
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
1101YP2500XProfessional Counselor76826TX

General Provider Information

NPI Number : 1548921299
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNN CARTER LPC
Provider Business Mailing Address
First Line : 3712 WICHITA ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-2866
Country : US
Telephone Number : 281-733-0108
Fax Number :
Provider Business Practice Location Address
First Line : 3712 WICHITA ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-2866
Country : US
Telephone Number : 817-886-7116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2022
Last Update Date : 01/05/2022

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