Healthcare Provider Details

I. General information

NPI: 1982520003
Provider Name (Legal Business Name): CAROLINE CARSON MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MIDDLETON ST APT 5V
BROOKLYN NY
11206-3183
US

IV. Provider business mailing address

1178 BROADWAY FL 3
NEW YORK NY
10001-5666
US

V. Phone/Fax

Practice location:
  • Phone: 504-919-5888
  • Fax:
Mailing address:
  • Phone: 504-919-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE JEAN CARSON
Title or Position: OWNER
Credential: LMHC
Phone: 504-919-5888