Healthcare Provider Details
I. General information
NPI: 1881861201
Provider Name (Legal Business Name): CARY BROWN LPC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/14/2008
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 AUBURN AVE STE D
MONROE LA
71201-5196
US
IV. Provider business mailing address
1900 AUBURN AVE STE D
MONROE LA
71201-5196
US
V. Phone/Fax
- Phone: 318-616-8020
- Fax: 318-306-6846
- Phone: 318-616-8020
- Fax: 318-306-6846
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 6028 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | A0701001 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: