Healthcare Provider Details

I. General information

NPI: 1912693375
Provider Name (Legal Business Name): CARVING FUTURES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GROSSMAN DR # 1120
BRAINTREE MA
02184-4967
US

IV. Provider business mailing address

16192 COASTAL HWY
LEWES DE
19958-3608
US

V. Phone/Fax

Practice location:
  • Phone: 857-557-6146
  • Fax: 857-299-0367
Mailing address:
  • Phone: 857-557-6146
  • Fax: 857-299-0367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name: ERIK NEILSON
Title or Position: DIRECTOR OF PARTNERSHIPS
Credential:
Phone: 386-748-0085