Provider Demographics
NPI:1023596723
Name:CARTER, JOANNA WHITMIRE (LCSWA)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:WHITMIRE
Last Name:CARTER
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2648 NC HIGHWAY 62 E
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NC
Mailing Address - Zip Code:27298-9121
Mailing Address - Country:US
Mailing Address - Phone:828-553-7485
Mailing Address - Fax:
Practice Address - Street 1:2207 DELANEY DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5263
Practice Address - Country:US
Practice Address - Phone:336-684-9951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health