CARRIE DOUGLAS NPI 1124570197

NPI Information

NPI: 1124570197
Provider Name: CARRIE DOUGLAS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
415 CASS ST
SUITE 2A & 2D
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 346-5216
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Carrie Douglas is a professional counselor in Traverse City, MI. Carrie Douglas NPI is 1124570197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 CASS ST
SUITE 2A & 2D
TRAVERSE CITY, MI
ZIP 49684-589
Phone: (231) 346-5216
Fax: (231) 943-2590

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401015031	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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