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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1932256328 NPPES
Alabama MEDICAID 1932256328

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