Provider Demographics
NPI:1033141601
Name:MIERS, CAROL S (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:MIERS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2562 SAINT NICK DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-5134
Mailing Address - Country:US
Mailing Address - Phone:504-722-7046
Mailing Address - Fax:504-834-2378
Practice Address - Street 1:118 RIDGELAKE DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5312
Practice Address - Country:US
Practice Address - Phone:504-722-7046
Practice Address - Fax:504-834-2378
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1906101YP2500X
LA199106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional