Healthcare Provider Details

I. General information

NPI: 1831449321
Provider Name (Legal Business Name): ERICA BRYANT CARTER LCMHCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 W MATTHEWS ST
MATTHEWS NC
28105-1305
US

IV. Provider business mailing address

1218 MADISON GREEN DR
FORT MILL SC
29715-8322
US

V. Phone/Fax

Practice location:
  • Phone: 704-708-4605
  • Fax:
Mailing address:
  • Phone: 704-962-9281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS9394
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: