Healthcare Provider Details

I. General information

NPI: 1225309941
Provider Name (Legal Business Name): LORI ANN BROWN ATR-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2012
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 JACKSON ST
MONROE LA
71201-7407
US

IV. Provider business mailing address

120 SUE CALHOUN ST
DOWNSVILLE LA
71234-4522
US

V. Phone/Fax

Practice location:
  • Phone: 318-331-6902
  • Fax: 318-966-6630
Mailing address:
  • Phone: 318-331-6902
  • Fax: 318-966-6630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4008
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: