Healthcare Provider Details

I. General information

NPI: 1285953380
Provider Name (Legal Business Name): LCA PSYCHOLOGICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2010
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11315 PEMBROOKE SQ STE 112A
WALDORF MD
20603-4806
US

IV. Provider business mailing address

PO BOX 249
OLNEY MD
20830-0249
US

V. Phone/Fax

Practice location:
  • Phone: 850-377-5389
  • Fax:
Mailing address:
  • Phone: 850-377-5389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LAVONNE A BROWNE
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 850-377-5389