Provider Demographics
NPI:1649383894
Name:CARTER, MARIE W (MA MFT)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:W
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 MUSKET RANGE ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9259
Mailing Address - Country:US
Mailing Address - Phone:843-412-4444
Mailing Address - Fax:843-216-1113
Practice Address - Street 1:1103 MUSKET RANGE ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-9259
Practice Address - Country:US
Practice Address - Phone:843-412-4444
Practice Address - Fax:843-216-1113
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4333106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist