Carpenter, Carolyn Marak
Carpenter, Carolyn Marak is an sole proprietor health care provider with primary practice located at 1500 Bragg Blvd Ste 201, Fayetteville NC 28301-4289. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carpenter, Carolyn Marak can be contacted via phone (910) 323-1065.Contact Information
Primary practice address
1500 Bragg Blvd Ste 201
Fayetteville NC 28301-4289
Phone: (910) 323-1065
Fax: (910) 323-1144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 14865 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C000366 | North Carolina |
Profile Details
| NPI number | 1588661441 |
|---|---|
| LBN Legal business name | Carpenter, Carolyn Marak |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Dec 31st, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588661441 | NPPES |
| North Carolina | MEDICAID | 6002227 |
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