Provider Demographics
NPI:1215392709
Name:CARNES, ANGEL MARIE (MSED / MS)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:MARIE
Last Name:CARNES
Suffix:
Gender:F
Credentials:MSED / MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 643
Mailing Address - Street 2:350 2ND STREET NE
Mailing Address - City:SHANNON
Mailing Address - State:GA
Mailing Address - Zip Code:30172-0643
Mailing Address - Country:US
Mailing Address - Phone:706-233-9023
Mailing Address - Fax:
Practice Address - Street 1:6 MATHIS DR NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1242
Practice Address - Country:US
Practice Address - Phone:706-233-9023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health