Provider Demographics
NPI:1356062772
Name:ANDERSON-CORCORAN, CAREY ELIZABETH (LCMHCA)
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:ELIZABETH
Last Name:ANDERSON-CORCORAN
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107A MICA AVE
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8135
Mailing Address - Country:US
Mailing Address - Phone:828-544-5101
Mailing Address - Fax:971-239-4271
Practice Address - Street 1:100 STONEY PL STE 102
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3327
Practice Address - Country:US
Practice Address - Phone:866-700-1606
Practice Address - Fax:866-338-5921
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health