Individual
ALISA MONIQUE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4403 MANCHACA RD, SUITE D, AUSTIN, TX 78745-1680
(512) 297-8717
(888) 395-2986
Mailing address
6204 SOFTWOOD DR, AUSTIN, TX 78744-4524
(512) 297-8717
(888) 395-2986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB152569
MEDICARE PTAN
TX
Enumeration date
09/23/2006
Last updated
02/22/2021
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