Provider Demographics
NPI:1679318232
Name:CARTER, STEVI LAURENE (LPC)
Entity type:Individual
Prefix:
First Name:STEVI
Middle Name:LAURENE
Last Name:CARTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12183 MS HIGHWAY 182 STE 106
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-1653
Mailing Address - Country:US
Mailing Address - Phone:662-435-9703
Mailing Address - Fax:
Practice Address - Street 1:12183 MS HIGHWAY 182 STE 106
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-1653
Practice Address - Country:US
Practice Address - Phone:662-435-5703
Practice Address - Fax:662-506-3904
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3120101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health