Provider Demographics
NPI:1255460051
Name:JEANBATISTE, CARLA DOUCET (LPC,LAC,LMFT,NCC,SAP)
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:DOUCET
Last Name:JEANBATISTE
Suffix:
Gender:F
Credentials:LPC,LAC,LMFT,NCC,SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:CADE
Mailing Address - State:LA
Mailing Address - Zip Code:70519-0102
Mailing Address - Country:US
Mailing Address - Phone:337-344-8513
Mailing Address - Fax:337-367-2947
Practice Address - Street 1:1084 ALEXANDER CIR
Practice Address - Street 2:
Practice Address - City:SAINT MARTINVILLE
Practice Address - State:LA
Practice Address - Zip Code:70582-7225
Practice Address - Country:US
Practice Address - Phone:337-344-8513
Practice Address - Fax:337-367-2947
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA721101YA0400X
LA863106H00000X
LA2752101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist