Most Relevant Information
Provider Data
| NPI Number: | 1003232968 |
| Provider Name: | CARLA MYERS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LPC007677 |
Most Important Dates
| Enumeration Date: | 03/14/2014 |
| Last Updated: | 03/14/2014 |
Provider Practice Location
1875 FANT DRIVE
LOOKOUT MOUNTAIN COMMUNITY SERVICES
FT. OGLETHORPE
GA
30742
Practice Location Phone/Fax
| Phone: | 7068613387 |
| Fax: | 7068061186 |
Provider Mailing Location
117 PINEHURST AVE
RED BANK
TN
374152746
Provider Mailing Phone/Fax
| Phone: | 4044552824 |
| Fax: |