MEDICARE: MS. CHRISTINA CARSON 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	101Y00000X	Counselor
2	101YP2500X	Professional Counselor	14035	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518181163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINA CARSON LPC

Provider Business Mailing Address
First Line	:	1708 SAINT ALBANS BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-2826
Country	:	US
Telephone Number	:	512-689-7677
Fax Number	:	512-440-0145

Provider Business Practice Location Address
First Line	:	1714 FORTVIEW RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7671
Country	:	US
Telephone Number	:	512-689-7677
Fax Number	:	512-440-0145

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	10/29/2025

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