MEDICARE: LISA J BRUNE AND COMPANY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	10755	LA

General Provider Information

NPI Number	:	1588083687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISA J BRUNE AND COMPANY, LLC

Provider Business Mailing Address
First Line	:	4016 HOLLY HILL RD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-2533
Country	:	US
Telephone Number	:	337-284-9779
Fax Number	:

Provider Business Practice Location Address
First Line	:	4016 HOLLY HILL RD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-2533
Country	:	US
Telephone Number	:	337-284-9779
Fax Number	:	337-282-7967

Authorized Official
Title or Position	:	CEO/COUNSELOR
Name	:	LISA BRUNE
Credential	:	LCSW, MSSW
Telephone Number	:	337-284-9779

Provider Enumeration Date	:	04/16/2014
Last Update Date	:	09/02/2025

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