Randall, Carlita J
Randall, Carlita J is an sole proprietor health care provider with primary practice located at 301 Mccullough Dr , Charlotte NC 28262-3310. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Randall, Carlita J can be contacted via phone (412) 977-1273.Contact Information
Primary practice address
301 Mccullough Dr
Charlotte NC 28262-3310
Phone: (412) 977-1273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | North Carolina | |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1902963960 |
---|---|
LBN Legal business name | Randall, Carlita J |
Credentials | LCMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 2nd, 2007 |
Last updated | Jan 12th, 2023 - about last year |
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 | 1902963960 | NPPES |
South Carolina | MEDICAID | 301100 |
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