MEDICARE: REGENIA CARTER NP-UPLIFTING HANDS LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1497623912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENIA CARTER NP-UPLIFTING HANDS LLC

Provider Business Mailing Address
First Line	:	201 VICTORY BLVD STE 249
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-2006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 VICTORY BLVD STE 249
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-2006
Country	:	US
Telephone Number	:	318-814-8877
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITONER
Name	:	REGENIA CARTER
Credential	:	PMHNP
Telephone Number	:	318-814-8877

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	12/02/2025

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