MEDICARE: CRCARTER & ASSOCIATES L.L.C.

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	106H00000X	Marriage & Family Therapist
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1760154645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRCARTER & ASSOCIATES L.L.C.

Provider Business Mailing Address
First Line	:	14525 FM 529 RD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3596
Country	:	US
Telephone Number	:	281-746-3406
Fax Number	:	281-274-9353

Provider Business Practice Location Address
First Line	:	14525 FM 529 RD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3596
Country	:	US
Telephone Number	:	281-746-3406
Fax Number	:	281-274-9353

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA R CARTER
Credential	:	MS, LPC-S, LMFT-S
Telephone Number	:	281-746-3406

Provider Enumeration Date	:	09/29/2021
Last Update Date	:	09/29/2021

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