MEDICARE: CARPENTER 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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1780512715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARPENTER COUNSELING LLC

Provider Business Mailing Address
First Line	:	109 W TROY ST STE 1214
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-4516
Country	:	US
Telephone Number	:	334-796-2620
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 W TROY ST STE 1214
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-4516
Country	:	US
Telephone Number	:	334-796-2620
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL CARPENTER
Credential	:	LPC
Telephone Number	:	334-796-2620

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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