Healthcare Provider Details

I. General information

NPI: 1043977259
Provider Name (Legal Business Name): CARTER COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7069 S HIGHLAND DR
SALT LAKE CITY UT
84121-3724
US

IV. Provider business mailing address

2610 W PEBBLE CREEK LN
LEHI UT
84043-4903
US

V. Phone/Fax

Practice location:
  • Phone: 801-244-2021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BOBBI CARTER
Title or Position: OWNER
Credential:
Phone: 801-244-2021