=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619824018
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KATHRYN CARTER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2026
-----------------------------------------------------
Last Update Date | 03/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1005 PRIYA LN STE 1
-----------------------------------------------------
City | WALLER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77484-2228
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 936-213-5440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17927 COSTRELL DR
-----------------------------------------------------
City | HOCKLEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77447-2057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-232-8557
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CLINICAL DIRECTOR
-----------------------------------------------------
Name | KATHRYN ANN CARTER
-----------------------------------------------------
Credential | LCSW, LCDC
-----------------------------------------------------
Telephone | 414-232-8557
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------