Healthcare Provider Details
I. General information
NPI: 1154680767
Provider Name (Legal Business Name): JARMELA F CARTER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/16/2012
Last Update Date: 03/10/2023
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1437 S BELCHER RD
CLEARWATER FL
33764-2829
US
IV. Provider business mailing address
2100 NURSERY RD APT F14
CLEARWATER FL
33764-2664
US
V. Phone/Fax
- Phone: 727-524-4464
- Fax: 727-538-7272
- Phone: 407-749-9924
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MH17725 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: