Healthcare Provider Details

I. General information

NPI: 1740559285
Provider Name (Legal Business Name): HEATHER R CARTY LMSW, LMAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER R GRIGGS LAC

II. Dates (important events)

Enumeration Date: 12/28/2011
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5909 E 49TH CT N
BEL AIRE KS
67220-1477
US

IV. Provider business mailing address

5909 E 49TH CT N
BEL AIRE KS
67220-1477
US

V. Phone/Fax

Practice location:
  • Phone: 316-730-4931
  • Fax:
Mailing address:
  • Phone: 316-730-4931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number01317
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number13404
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: