MEDICARE: DANA CARTER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	64179	TX

General Provider Information

NPI Number	:	1134460041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA CARTER LPC

Provider Business Mailing Address
First Line	:	6243 W INTERSTATE 10 STE 1050
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-2048
Country	:	US
Telephone Number	:	210-293-0883
Fax Number	:	210-293-0885

Provider Business Practice Location Address
First Line	:	6243 W INTERSTATE 10
Second Line	:	STE 1050
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-2086
Country	:	US
Telephone Number	:	210-293-0883
Fax Number	:	210-293-0885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	02/05/2026

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Directions to “ DANA CARTER LPC” Practice Location

Language	Start Address	Practice Location

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