Healthcare Provider Details

I. General information

NPI: 1275175010
Provider Name (Legal Business Name): CHARISMA A HOUSTON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2019
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 POYDRAS ST STE 1400
NEW ORLEANS LA
70130-6116
US

IV. Provider business mailing address

11821 THORNBERRY LN
BATON ROUGE LA
70810-1855
US

V. Phone/Fax

Practice location:
  • Phone: 225-217-1737
  • Fax: 866-210-3375
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT15409
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT1469
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: