Blakely Lauren Brown-Warren, CAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAC 1332 Issued in LA

Practice address

23861 Robin Road
Mandeville, LA 70448-1225

Phone

(985) 624-4100

Fax

(985) 624-4123

NPI assigned

Aug 30, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Department of Health & Hospitals

  • Substance Abuse Rehabilitation Facility
  • Mandeville, LA
  • NPI 1033167762
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1902230568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1225",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701225",
            "telephone_number": "985-624-4100",
            "fax_number": "985-624-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 ROBIN ROAD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481225",
            "telephone_number": "985-624-4100",
            "fax_number": "985-624-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-WARREN",
        "first_name": "BLAKELY",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CAC 1332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.