Healthcare Provider Details

I. General information

NPI: 1104291053
Provider Name (Legal Business Name): CARTER CONSULTING, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2015
Last Update Date: 12/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 20TH ST N STE 619
BIRMINGHAM AL
35203-4702
US

IV. Provider business mailing address

205 20TH ST N STE 619
BIRMINGHAM AL
35203-4702
US

V. Phone/Fax

Practice location:
  • Phone: 205-835-6131
  • Fax:
Mailing address:
  • Phone: 205-835-6131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number006807
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number006807
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number006807
License Number StateAL

VIII. Authorized Official

Name: NICOLE C CARTER
Title or Position: CEA
Credential:
Phone: 205-835-6131