Individual
CARRIE MICHELLE NEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCDC
Contact information
Practice address
4203 GARDENDALE ST STE C214, SAN ANTONIO, TX 78229-3174
(210) 965-9544
(210) 864-7593
Mailing address
4203 GARDENDALE ST STE C214, SAN ANTONIO, TX 78229-3174
(210) 965-9544
(210) 864-7593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
46958
TX
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
78878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402958901
—
TX
Enumeration date
07/27/2019
Last updated
07/24/2025
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