Healthcare Provider Details

I. General information

NPI: 1578164067
Provider Name (Legal Business Name): CARVER COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2028 KENTUCKY AVE STE 206
VESTAVIA HILLS AL
35216-1948
US

IV. Provider business mailing address

2807 NORTH DR
HELENA AL
35080-3517
US

V. Phone/Fax

Practice location:
  • Phone: 205-386-2509
  • Fax: 888-658-9858
Mailing address:
  • Phone: 205-368-8915
  • Fax: 205-620-9298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARLENE KAY CARVER
Title or Position: OWNER
Credential: M.ED, ALC, NCC
Phone: 205-368-8915