Healthcare Provider Details
I. General information
NPI: 1831987270
Provider Name (Legal Business Name): DAVID LOUIS BROWN JR. PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/26/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1729 MONTE SANO AVE
BATON ROUGE LA
70807-6142
US
IV. Provider business mailing address
40127 PELICAN POINT PKWY
GONZALES LA
70737-8501
US
V. Phone/Fax
- Phone: 225-400-5315
- Fax:
- Phone: 225-400-5315
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | DB903146 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | DB903146 |
| License Number State | LA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | DB903146 |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | DB903146 |
| License Number State | LA |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | DB903146 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: