Provider Demographics
NPI:1033324637
Name:CARO, ANGELLE CHERIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELLE
Middle Name:CHERIE
Last Name:CARO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 B PROFESSIONAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360
Mailing Address - Country:US
Mailing Address - Phone:985-790-7552
Mailing Address - Fax:985-857-3706
Practice Address - Street 1:8 B PROFESSIONAL DRIVE
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360
Practice Address - Country:US
Practice Address - Phone:985-790-7552
Practice Address - Fax:985-857-3706
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
LA3616101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor