Individual
CARLA ALICIA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, APC
Contact information
Practice address
964 POWNAL LN, HAMPTON, GA 30228-6183
(678) 789-7812
Mailing address
964 POWNAL LN, HAMPTON, GA 30228-6183
(678) 789-7812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010646
GA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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