Healthcare Provider Details

I. General information

NPI: 1447659156
Provider Name (Legal Business Name): CRISTY CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1047 HIGHVIEW DR
LAWRENCEBURG KY
40342-9703
US

IV. Provider business mailing address

1047 HIGHVIEW DR
LAWRENCEBURG KY
40342-9703
US

V. Phone/Fax

Practice location:
  • Phone: 859-582-9606
  • Fax:
Mailing address:
  • Phone: 859-582-9606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number172307
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: