Provider Demographics
NPI:1972160919
Name:CARVER, MARLENE KAY (MED ALC NCC)
Entity type:Individual
Prefix:
First Name:MARLENE
Middle Name:KAY
Last Name:CARVER
Suffix:
Gender:F
Credentials:MED ALC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 NORTH DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3517
Mailing Address - Country:US
Mailing Address - Phone:205-368-8915
Mailing Address - Fax:205-620-9298
Practice Address - Street 1:3054 MORGAN RD STE C3
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6452
Practice Address - Country:US
Practice Address - Phone:205-368-8915
Practice Address - Fax:205-620-9298
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-24
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health