Provider Demographics
NPI:1386493559
Name:CARRIER, COURTNEY ANNE (MA, PLPC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANNE
Last Name:CARRIER
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9616 RED CHURCH LN
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-5016
Mailing Address - Country:US
Mailing Address - Phone:504-390-1705
Mailing Address - Fax:
Practice Address - Street 1:3525 N CAUSEWAY BLVD STE 701
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3634
Practice Address - Country:US
Practice Address - Phone:504-302-7771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9969101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health