Brooklyn L York, MS
Individual provider Active NPI Counselor · Crowley, LA
NPI 1104493766 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1104493766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- PLC8546 (LA)
- Practice address
- 1325 Wright Ave Ste D
Crowley, LA 70526-2226 - Phone
- (337) 514-5181
- NPI assigned
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC8546 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal Your Life Counseling LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | PLC8546 | LA | Yes |
Addresses
Primary practice location
1325 Wright Ave Ste D
Crowley, LA 70526-2226
Mailing address
1325 Wright Ave Ste D
Crowley, LA 70526-2226
Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.