# CARPENTER HOUSE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982069480
- **Authorized official:** MRS. KATHLYN C WHITE LMFT, LMHC (PRESIDENT)
- **Authorized official phone:** (850) 897-7810

## Contact information

- **Practice address:** 1234 ELDERFLOWER DR, NICEVILLE, FL 32578-3425
- **Practice address phone:** (850) 897-7810
- **Practice address fax:** (850) 897-0032
- **Mailing address:** PO BOX 5383, NICEVILLE, FL 32578-5383
- **Mailing address phone:** (850) 217-7810
- **Mailing address fax:** (850) 897-0032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2015
- **Last updated:** 07/06/2024