Healthcare Provider Details

I. General information

NPI: 1891617635
Provider Name (Legal Business Name): CARRIE MICHELE BREKEEN LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 WEST AVE
HARAHAN LA
70123-4024
US

IV. Provider business mailing address

356 WEST AVE
HARAHAN LA
70123-4024
US

V. Phone/Fax

Practice location:
  • Phone: 504-905-2740
  • Fax: 504-905-2740
Mailing address:
  • Phone: 504-905-2740
  • Fax: 504-905-2740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number825
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2778
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: