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NPI Code Detail

MEDICARE: SHELA M CARTER COUNSELING SERVICES LLC

MEDICARE: SHELA M CARTER COUNSELING SERVICES 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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982220273
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHELA M CARTER COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 7833 COROZAL DR
Second Line :
City : EL PASO
State : TX
Zip : 79915-2125
Country : US
Telephone Number : 915-487-2594
Fax Number :
Provider Business Practice Location Address
First Line : 7833 COROZAL DR
Second Line :
City : EL PASO
State : TX
Zip : 79915-2125
Country : US
Telephone Number : 915-487-2594
Fax Number :
Authorized Official
Title or Position : LPC
Name : SHELA M CARTER
Credential : MA LPC
Telephone Number : 915-487-2594
Provider Enumeration Date : 06/22/2020
Last Update Date : 06/23/2020

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Directions to “SHELA M CARTER COUNSELING SERVICES LLC ” Practice Location

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