Individual provider · Type 1 NPI

Carla Carlock-Self, LPC

Mental Health Counselor · Tyler, TX

NPI number 1295794394 Active

Practice location

2323 W Front St
Tyler, TX 75702-7704

Fax (903) 535-7386

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X16727 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1295794394

Carla Carlock-Self, LPC's National Provider Identifier is 1295794394, issued on Mar 20, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tyler, TX. The record was last updated on Jul 13, 2026.