Provider Demographics
NPI:1518230317
Name:CARPENTER, JOSHUA LEVI (LPC)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:LEVI
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13675 COURSEY BLVD APT 921
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-1354
Mailing Address - Country:US
Mailing Address - Phone:225-773-1331
Mailing Address - Fax:985-327-5427
Practice Address - Street 1:60 LOUIS PRIMA DR STE A60
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-5903
Practice Address - Country:US
Practice Address - Phone:985-327-5427
Practice Address - Fax:985-327-8800
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005000101YM0800X
LA6496101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health