Provider Demographics
NPI:1992972327
Name:CARSWELL, RITA LEE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:LEE
Last Name:CARSWELL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3608
Mailing Address - Country:US
Mailing Address - Phone:785-628-3575
Mailing Address - Fax:785-621-2257
Practice Address - Street 1:124 E 12TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3608
Practice Address - Country:US
Practice Address - Phone:785-628-3575
Practice Address - Fax:785-621-2257
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS365101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS365OtherKS BOARD OF BEHAVIORAL SCIENCES