Carlton Alan Vance
Counselor, Professional in Haslet, TX. Individual provider (NPI-1).
NPI number1891364592
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1891364592
- Entity type
- Individual (NPI-1)
- Name
- Carlton Alan Vance
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2021
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 83298 | TX | Yes |
Practice location
1116 Crest Breeze DrHaslet, TX 76052-6149
Phone 817-715-9869
Mailing address
1116 Crest Breeze DrHaslet, TX 76052-6149
Phone 817-715-9869
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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