Healthcare Provider Details

I. General information

NPI: 1366580649
Provider Name (Legal Business Name): RACHEL LYNN CARTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 US HIGHWAY 23 N
WEBER CITY VA
24290-7021
US

IV. Provider business mailing address

1167 SPRATLIN PARK DR
GRAY TN
37615-6205
US

V. Phone/Fax

Practice location:
  • Phone: 276-225-0976
  • Fax: 423-467-3644
Mailing address:
  • Phone: 423-467-3600
  • Fax: 234-673-6444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004391
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: