Lela Brown

Individual provider Active NPI Professional Counselor · Rayville, LA

NPI 1558050708 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1558050708
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
3562 (LA)
Practice address
86 Palmetto Rd
Rayville, LA 71269-6415
Phone
(318) 728-2970
Fax
(318) 728-2272
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3562LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Addiction Recovery Center, Inc Past
since May 7, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3562 LA
Professional Counselor 101YP2500X 3562 LA Yes

Addresses

Primary practice location

86 Palmetto Rd
Rayville, LA 71269-6415

Mailing address

86 Palmetto Rd
Rayville, LA 71269-6415
Phone (318) 728-2970

Other providers in Rayville, LA

All providers in Rayville, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.