Provider Demographics
NPI:1376268698
Name:SAYLES, CAROLINE MUSACCHIA (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:MUSACCHIA
Last Name:SAYLES
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 MARCIE ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-3505
Mailing Address - Country:US
Mailing Address - Phone:504-214-6665
Mailing Address - Fax:
Practice Address - Street 1:6301 MARCIE ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-3505
Practice Address - Country:US
Practice Address - Phone:504-214-6665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6066101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional