Provider Demographics
NPI:1417385394
Name:PALMER-BROOKS, ALUTHIA (NCC, LPCS)
Entity type:Individual
Prefix:
First Name:ALUTHIA
Middle Name:
Last Name:PALMER-BROOKS
Suffix:
Gender:
Credentials:NCC, LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 DANNA DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-9519
Mailing Address - Country:US
Mailing Address - Phone:318-331-8935
Mailing Address - Fax:
Practice Address - Street 1:121 DANNA DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-9519
Practice Address - Country:US
Practice Address - Phone:318-331-8935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-31
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5118101YP2500X, 101YM0800X
LAB432393101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool