Carter, Brenda Lynn
Carter, Brenda Lynn is an individual health care provider with primary practice located at 3401 Berrywood Dr Ste 101 , Columbia MO 65201-6515. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carter, Brenda Lynn can be contacted via phone (573) 777-8455.Contact Information
Primary practice address
3401 Berrywood Dr Ste 101
Columbia MO 65201-6515
Phone: (573) 777-8455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2003032051 | Missouri |
Profile Details
| NPI number | 1720024516 |
|---|---|
| LBN Legal business name | Carter, Brenda Lynn |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Sep 6th, 2019 - about 5 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 | 1720024516 | NPPES |
| Missouri | MEDICAID | 490019742 |
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