Provider Demographics
NPI:1427252154
Name:BROWDER, LAURA BERNICE (LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:BERNICE
Last Name:BROWDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 COUNTY ROAD 592
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35983-4967
Mailing Address - Country:US
Mailing Address - Phone:256-526-7747
Mailing Address - Fax:
Practice Address - Street 1:1406 SUTTON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-3322
Practice Address - Country:US
Practice Address - Phone:256-442-5757
Practice Address - Fax:256-442-5787
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2428101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor