Healthcare Provider Details

I. General information

NPI: 1922922475
Provider Name (Legal Business Name): MARLENE ANN CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 S CLEARVIEW PKWY
HARAHAN LA
70123-3401
US

IV. Provider business mailing address

5500 AMES CT
MARRERO LA
70072-5343
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-8915
  • Fax:
Mailing address:
  • Phone: 504-224-0625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number8804
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: