Provider Demographics
NPI:1902664436
Name:JCARR COUNSELING AND CONSULTATION PLLC
Entity Type:Organization
Organization Name:JCARR COUNSELING AND CONSULTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JARICE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-448-8062
Mailing Address - Street 1:15250 QUORUM DR APT 423
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4705
Mailing Address - Country:US
Mailing Address - Phone:214-448-8062
Mailing Address - Fax:
Practice Address - Street 1:14275 MIDWAY RD STE 260
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3613
Practice Address - Country:US
Practice Address - Phone:504-535-4522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty