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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902963960 NPPES
South Carolina MEDICAID 301100

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