Healthcare Provider Details

I. General information

NPI: 1124431309
Provider Name (Legal Business Name): CARRIE ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 INTERNATIONAL PKWY STE 180
CARROLLTON TX
75007-1974
US

IV. Provider business mailing address

8610 TURTLE CREEK BLVD APT 106
DALLAS TX
75225-4002
US

V. Phone/Fax

Practice location:
  • Phone: 214-296-4801
  • Fax:
Mailing address:
  • Phone: 801-919-6302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: