Healthcare Provider Details

I. General information

NPI: 1083473854
Provider Name (Legal Business Name): CARTER COUNSELING CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4065 CANE RIDGE PKWY STE 121G
ANTIOCH TN
37013-4738
US

IV. Provider business mailing address

4065 CANE RIDGE PKWY STE 121G
ANTIOCH TN
37013-4738
US

V. Phone/Fax

Practice location:
  • Phone: 615-499-6503
  • Fax:
Mailing address:
  • Phone: 615-964-2096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TANDRA CARTER-WILLIAMS
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 615-499-6503