Doctor Name: | MS. LISA VERNETTE BROWN |
NPI Number: | 1336241470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | CSW002753 |
Business Practice Address: | 2400 Hospital Rd Building 62-1 Tuskegee, AL - 360835001 |
Business Phone Number: | 3347270550 |
Business Fax Number: | 3347252508 |
Mailing Address: | 4071 Oak Bowery Rd, OPELIKA |
State: | AL |
Postal Code: | 368012121 |
Phone Number: | 3347416920 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW002753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |