Healthcare Provider Details
I. General information
NPI: 1073178448
Provider Name (Legal Business Name): BRIANA M SAVAGE MA, LMFT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/01/2019
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1105 HUDSON LN
MONROE LA
71201-6003
US
IV. Provider business mailing address
608 LAKESHORE DR
MONROE LA
71203-4032
US
V. Phone/Fax
- Phone: 318-322-6500
- Fax:
- Phone: 504-357-7850
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | MFT1346 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 7432 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: