MS. CARLETTA ANDERSON NPI 1164542163

NPI Information

NPI: 1164542163
Provider Name: MS. CARLETTA ANDERSON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
217 E CAROLINA AVE
HARTSVILLE, SC
ZIP 29550
Phone: (843) 332-4141
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MS. Carletta Anderson is a mental health counselor in Hartsville, SC. MS. Carletta Anderson NPI is 1164542163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

217 E CAROLINA AVE
HARTSVILLE, SC
ZIP 29550-305
Phone: (843) 332-4141
Fax: (843) 383-4625

The enumeration date for this NPI number is 3/31/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3337	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
2	376241	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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