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General NPI Number Information
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NPI Number | 1558003939
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Entity Type | Organization
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Legal Business Name | THE CARTER CONSORTIUM
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2645 CABIN CREEK RD
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5813
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Country | US
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Telephone | 703-517-1866
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Fax | 703-770-6082
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Provider Business Mailing Address
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Address Line | 3213 DUKE ST # 607
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4533
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Country | US
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Telephone | 703-517-1866
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Fax | 703-770-6082
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Authorized Official
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Title or Position | CEO
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Name | DR. BENEALIA D CARTER
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Credential | LPC, LMHC, LCPC, NCC
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Telephone | 703-517-1866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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