Healthcare Provider Details

I. General information

NPI: 1427487768
Provider Name (Legal Business Name): DEBORAH CARTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH CARTER LPC

II. Dates (important events)

Enumeration Date: 11/07/2013
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15173 NORTH RD STE 100
FENTON MI
48430-1381
US

IV. Provider business mailing address

164 ABBEY BLVD
WHITE LAKE MI
48383-2816
US

V. Phone/Fax

Practice location:
  • Phone: 810-771-4074
  • Fax: 810-866-4450
Mailing address:
  • Phone: 248-238-7461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401224672
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401013425
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: