MS. CORONDA TYEAST CARTER NPI 1700915451

NPI Information

NPI: 1700915451
Provider Name: MS. CORONDA TYEAST CARTER
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
470 CHADBOURNE RD STE F
FAIRFIELD, CA
ZIP 94534
Phone: (707) 557-4560
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MS. Coronda Tyeast Carter is a counselor in Fairfield, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Coronda Tyeast Carter NPI is 1700915451. 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:

470 CHADBOURNE RD STE F
FAIRFIELD, CA
ZIP 94534-620
Phone: (707) 557-4560
Fax: (707) 557-7909

The enumeration date for this NPI number is 3/5/2007 and was last updated on 4/3/2017.

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	390200000X	Student in an Organized Health Care Education/Training Program		IMF55564	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health			No
3	106H00000X	Marriage & Family Therapist		IMF55564	CALIFORNIA	No
4	101YM0800X	Counselor	Mental Health	IMF79317	CALIFORNIA	No
5	101Y00000X	Counselor				Yes

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: 4/28/2024

NPI Synchronization or Removal

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