Provider Demographics
NPI:1508483256
Name:CARR, ERICA T (PLPC)
Entity Type:Individual
Prefix:MISS
First Name:ERICA
Middle Name:T
Last Name:CARR
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3837 MERCER LN
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2134
Mailing Address - Country:US
Mailing Address - Phone:504-432-6738
Mailing Address - Fax:
Practice Address - Street 1:3837 MERCER LN
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2134
Practice Address - Country:US
Practice Address - Phone:504-432-6738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8199101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty