Brown, Lakeisha

Brown, Lakeisha is an individual health care provider with primary practice located at 704 Alexandria Ln , Winterville NC 28590-9494. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brown, Lakeisha can be contacted via phone (252) 717-7782.

Contact Information

Primary practice address
704 Alexandria Ln Winterville NC 28590-9494
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20604 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X A13559 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C011739 North Carolina

Profile Details

NPI number 1487199477
LBN Legal business name Brown, Lakeisha
Credentials LCSW, LCAS, LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2016
Last updated Jan 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487199477 NPPES
North Carolina Other 20604 LICENSED CLINICAL ADDICTION SPECIALIST-ASSOCIATE
North Carolina Other C011739 LICENSED CLINICAL ADDICTION SPECIALIST-ASSOCIATE
North Carolina Other A13559 LICENSED CLINICAL ADDICTION SPECIALIST-ASSOCIATE

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