Provider Demographics
NPI:1033917497
Name:CARPENTER THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:CARPENTER THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW-S
Authorized Official - Phone:334-830-9999
Mailing Address - Street 1:90 WESTMAN CIR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36784-4505
Mailing Address - Country:US
Mailing Address - Phone:334-830-9999
Mailing Address - Fax:334-830-9999
Practice Address - Street 1:90 WESTMAN CIR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:AL
Practice Address - Zip Code:36784-4505
Practice Address - Country:US
Practice Address - Phone:334-830-9999
Practice Address - Fax:334-830-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty