Provider Demographics
NPI:1023180601
Name:LACOUR, CAROLYN (LPC LMFT EDD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:
Last Name:LACOUR
Suffix:
Gender:F
Credentials:LPC LMFT EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 HWY 495
Mailing Address - Street 2:
Mailing Address - City:CLOUTIERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71416
Mailing Address - Country:US
Mailing Address - Phone:318-379-0999
Mailing Address - Fax:318-379-0999
Practice Address - Street 1:507 E AUSTIN
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670
Practice Address - Country:US
Practice Address - Phone:903-938-4357
Practice Address - Fax:903-938-4357
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04991LPC101YP2500X
LA70LPC101YP2500X
TX1926LMFT106H00000X
LA402LMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist