Healthcare Provider Details

I. General information

NPI: 1902664436
Provider Name (Legal Business Name): J.CARR COUNSELING AND CONSULTATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 07/27/2024
Certification Date: 07/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14275 MIDWAY RD STE 260
ADDISON TX
75001-3613
US

IV. Provider business mailing address

5519 ARAPAHO RD APT 480
DALLAS TX
75248-3632
US

V. Phone/Fax

Practice location:
  • Phone: 214-448-8062
  • Fax:
Mailing address:
  • Phone: 214-448-8062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JARICE NICOLE CARR
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 214-448-8062