Healthcare Provider Details

I. General information

NPI: 1811771611
Provider Name (Legal Business Name): TERRI JOANN CARTER-GRAVES BA, CA, CFPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 N NELSON RD
COLUMBUS OH
43219-2608
US

IV. Provider business mailing address

PO BOX 11701
COLUMBUS OH
43211-0701
US

V. Phone/Fax

Practice location:
  • Phone: 614-984-3838
  • Fax:
Mailing address:
  • Phone: 614-984-3838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberFPS.000017
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: