Provider Demographics
NPI:1316134869
Name:EDWARDS, CARISSIMA F (LPC-S, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CARISSIMA
Middle Name:F
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LPC-S, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3191 ALEX KORNMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2043
Mailing Address - Country:US
Mailing Address - Phone:504-975-4345
Mailing Address - Fax:
Practice Address - Street 1:3191 ALEX KORNMAN BLVD
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2043
Practice Address - Country:US
Practice Address - Phone:504-371-0476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA853106H00000X
LA2789101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist