Healthcare Provider Details

I. General information

NPI: 1225597818
Provider Name (Legal Business Name): SARAH YOLANDA CARTER LPC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2019
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6107 N 1ST ST
FRESNO CA
93710-5460
US

IV. Provider business mailing address

1733 S WILLOW AVE APT 104
FRESNO CA
93727-5130
US

V. Phone/Fax

Practice location:
  • Phone: 866-707-6664
  • Fax: 661-746-9197
Mailing address:
  • Phone: 559-375-9301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC010767
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC15804
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: