Provider Demographics
NPI:1760819817
Name:EBERHART, CARRIE MARGARET (LMHC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:MARGARET
Last Name:EBERHART
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 CYPRESS POINT DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7137
Mailing Address - Country:US
Mailing Address - Phone:561-809-8353
Mailing Address - Fax:
Practice Address - Street 1:6405 CONGRESS AVE STE 160
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2861
Practice Address - Country:US
Practice Address - Phone:561-464-4949
Practice Address - Fax:561-464-5501
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 12048101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health