Healthcare Provider Details

I. General information

NPI: 1417130378
Provider Name (Legal Business Name): JANELL KAY BROWN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3018 OLD MINDEN RD STE 1113D
BOSSIER CITY LA
71112-2476
US

IV. Provider business mailing address

229 LEO AVE
SHREVEPORT LA
71105-3303
US

V. Phone/Fax

Practice location:
  • Phone: 318-349-6485
  • Fax: 888-252-5876
Mailing address:
  • Phone: 318-349-6485
  • Fax: 888-252-5876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2650
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: