Healthcare Provider Details

I. General information

NPI: 1881504793
Provider Name (Legal Business Name): ROBIN CARNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 ALEXANDER AVE
ARABI LA
70032-1670
US

IV. Provider business mailing address

PO BOX 641543
KENNER LA
70064-1543
US

V. Phone/Fax

Practice location:
  • Phone: 504-218-5058
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5046
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: