Provider Demographics
NPI:1962135947
Name:MCCARTER, SCHAVONNE (LMHC)
Entity type:Individual
Prefix:
First Name:SCHAVONNE
Middle Name:
Last Name:MCCARTER
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 1:3229 SE 54TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-1427
Mailing Address - Country:US
Mailing Address - Phone:352-812-2376
Mailing Address - Fax:
Practice Address - Street 1:1515 E SILVER SPRINGS BLVD STE 106
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6814
Practice Address - Country:US
Practice Address - Phone:352-690-6030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health