Ms. Carolyn Alecia Moten
Mental Health Counselor
1742 Cheryl St
Clarksdale
, Mississippi 38614-7218
Ms. Carolyn Alecia Moten
Mental Health Counselor
1742 Cheryl St
Clarksdale
, Mississippi 38614-7218
(662) 627-5240
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Ms. Carolyn Alecia Moten
- Po Box 1046
- Clarksdale, MS
- Zip : 38614-1046
- Fax : (662) 627-5240
- Phone : (662) 627-7267
Second Address
- Ms. Carolyn Alecia Moten
- 1742 Cheryl St
- Clarksdale, MS
- Zip : 38614-7218
- Fax : (662) 627-5240
- Phone : (662) 627-7267
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003151200 |
|---|---|
| Provider Name | Ms. Carolyn Alecia Moten |
| First Address | Clarksdale, MS 38614-1046 |
| Second Address | Clarksdale, MS 38614-7218 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2012 |
| Last Update Date | 29/11/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.