Provider Demographics
NPI:1366906729
Name:CARTER, CHERYL TERESITA (LNFA)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:TERESITA
Last Name:CARTER
Suffix:
Gender:F
Credentials:LNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 RUE SAINT LOUIS
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-8212
Mailing Address - Country:US
Mailing Address - Phone:504-451-4640
Mailing Address - Fax:
Practice Address - Street 1:2404 RUE SAINT LOUIS
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-8212
Practice Address - Country:US
Practice Address - Phone:504-451-4640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3404OtherLABENFA