Nelson, Carrie Juanita
Nelson, Carrie Juanita is an individual health care provider with primary practice located at 4252 Carmichael Rd Ste 107-108 , Montgomery AL 36106-2804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Nelson, Carrie Juanita can be contacted via phone (334) 356-4960.Contact Information
Primary practice address
4252 Carmichael Rd Ste 107-108
Montgomery AL 36106-2804
Phone: (334) 356-4960
Fax: (334) 356-4961
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0759-1646-C | Alabama |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1646C | Alabama |
Profile Details
NPI number | 1932256328 |
---|---|
LBN Legal business name | Nelson, Carrie Juanita |
Credentials | PH.D, LICSW-PIP, MFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2007 |
Last updated | Sep 24th, 2020 - about 4 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 | 1932256328 | NPPES |
Alabama | MEDICAID | 1932256328 |
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