Provider Demographics
NPI:1427772243
Name:ESNAULT-BREWER, VICTORIA (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:
Last Name:ESNAULT-BREWER
Suffix:
Gender:
Credentials:MS, LPC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:ASHLEY
Other - Last Name:ESNAULT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LAPC
Mailing Address - Street 1:755 LAKEHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-4257
Mailing Address - Country:US
Mailing Address - Phone:678-902-4454
Mailing Address - Fax:
Practice Address - Street 1:755 LAKEHAVEN LN
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-4257
Practice Address - Country:US
Practice Address - Phone:678-902-4454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015475101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health