Provider Demographics
NPI:1053146019
Name:CHARPENTIER, CARLEE J
Entity type:Individual
Prefix:
First Name:CARLEE
Middle Name:J
Last Name:CHARPENTIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-3721
Mailing Address - Country:US
Mailing Address - Phone:337-578-5016
Mailing Address - Fax:
Practice Address - Street 1:1410 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-3721
Practice Address - Country:US
Practice Address - Phone:337-578-5016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician