Individual
CARSON MCKNIGHT SARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LCMHC
Contact information
Practice address
445 DOLLEY MADISON RD STE 410, GREENSBORO, NC 27410-5167
(336) 292-1510
(336) 292-0679
Mailing address
445 DOLLEY MADISON RD STE 410, GREENSBORO, NC 27410-5167
(336) 292-1510
(336) 292-0679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2218
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10604
BCBS
NC
05
—
6102900
—
NC
Enumeration date
11/09/2006
Last updated
07/27/2020
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