Individual
MINDY LYNN MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDAC-II, LPC
Contact information
Practice address
194 MARLEY BLUE DR, LITTLE RIVER, SC 29566-5400
(404) 484-4665
Mailing address
194 MARLEY BLUE DR, LITTLE RIVER, SC 29566-5400
(404) 484-4665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1020
GA
101YP2500X
Professional Counselor
LPC013050
GA
101YP2500X
Professional Counselor
Primary
LPC9062PC
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020
ALCOHOL AND DRUG ABUSE CERTIFIED BOARD OF GEORGIA
GA
01
—
LPC013050
LPC
GA
01
—
LPC9062PC
LPC
SC
Enumeration date
05/09/2019
Last updated
11/04/2024
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