Provider Demographics
NPI:1609452648
Name:CARR, JARICE (PHD)
Entity type:Individual
Prefix:DR
First Name:JARICE
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4560 BELT LINE RD STE 404
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4583
Mailing Address - Country:US
Mailing Address - Phone:504-535-4522
Mailing Address - Fax:972-587-7176
Practice Address - Street 1:4560 BELT LINE RD STE 404
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4583
Practice Address - Country:US
Practice Address - Phone:504-535-4522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39322103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling