Healthcare Provider Details

I. General information

NPI: 1306755806
Provider Name (Legal Business Name): SHANICE NICHOLE CARTER PH.D, NCC, LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 S INTERSTATE 35 E STE 103
DENTON TX
76205-4102
US

IV. Provider business mailing address

723 S INTERSTATE 35 E STE 103
DENTON TX
76205-4102
US

V. Phone/Fax

Practice location:
  • Phone: 940-600-5290
  • Fax:
Mailing address:
  • Phone: 940-600-5290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number98030
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: