Healthcare Provider Details

I. General information

NPI: 1780512715
Provider Name (Legal Business Name): CARPENTER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 W TROY ST STE 1214
DOTHAN AL
36303-4516
US

IV. Provider business mailing address

109 W TROY ST STE 1214
DOTHAN AL
36303-4516
US

V. Phone/Fax

Practice location:
  • Phone: 334-796-2620
  • Fax:
Mailing address:
  • Phone: 334-796-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: RACHEL CARPENTER
Title or Position: OWNER
Credential: LPC
Phone: 334-796-2620