Carson, Tina Jean

Carson, Tina Jean is an individual health care provider with primary practice located at 508 Gregory St , Scottsboro AL 35768-4239. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carson, Tina Jean can be contacted via phone (256) 259-1774.

Contact Information

Primary practice address
508 Gregory St Scottsboro AL 35768-4239
Phone: (256) 259-1774
Fax: (256) 259-0761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1336361237
LBN Legal business name Carson, Tina Jean
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Oct 15th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336361237 NPPES
Alabama Other BCBS 51540222

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