Provider Demographics
NPI:1285476903
Name:MCCARTY, KADEJAIH D
Entity type:Individual
Prefix:
First Name:KADEJAIH
Middle Name:D
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9028 COUNTY ROAD 670
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39355-8947
Mailing Address - Country:US
Mailing Address - Phone:601-606-1233
Mailing Address - Fax:
Practice Address - Street 1:9028 COUNTY ROAD 670
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:MS
Practice Address - Zip Code:39355-8947
Practice Address - Country:US
Practice Address - Phone:601-606-1233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health