| Carter Care Therapeutic Services | |
|
675 Town Square Blvd Ste 200 Garland TX 75040-2991 | |
| (424) 312-9970 | |
| Not Available |
| Full Name | Carter Care Therapeutic Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 675 Town Square Blvd Ste 200, Garland, Texas |
| Authorized Official Name and Position | Margena Lorine Carter (OWNER) |
| Authorized Official Contact | 3106480700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carter Care Therapeutic Services 675 Town Square Blvd Ste 200 Garland TX 75040-2991 Ph: (310) 648-0700 | Carter Care Therapeutic Services 675 Town Square Blvd Ste 200 Garland TX 75040-2991 Ph: (424) 312-9970 |
| NPI Number | 1083366389 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Medicare PECOS PAC ID | 1951755784 |
|---|---|
| Medicare Enrollment ID | O20230928000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083366389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Margena Lorine Carter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023379484 PECOS PAC ID: 1658725619 Enrollment ID: I20231127003038 |
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