Healthcare Provider Details

I. General information

NPI: 1962542654
Provider Name (Legal Business Name): SARA N CARTER MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARA N DAVENPORT

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 02/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 ERLANGER RD
ERLANGER KY
41018-1728
US

IV. Provider business mailing address

34 ERLANGER RD
ERLANGER KY
41018-1728
US

V. Phone/Fax

Practice location:
  • Phone: 859-341-5782
  • Fax: 859-341-5783
Mailing address:
  • Phone: 859-341-5782
  • Fax: 859-341-5783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberKY-0508
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberKY-1139
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: