Healthcare Provider Details

I. General information

NPI: 1598255564
Provider Name (Legal Business Name): CANDES CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 SAINT BERNARD AVE
NEW ORLEANS LA
70116-1329
US

IV. Provider business mailing address

3437 E PARC GREEN ST
HARVEY LA
70058-7032
US

V. Phone/Fax

Practice location:
  • Phone: 504-943-1857
  • Fax:
Mailing address:
  • Phone: 618-972-0858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: