Provider Demographics
NPI:1962997817
Name:BROWN, LATOYA C
Entity type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 SPARTAN DR APT 4109
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-5160
Mailing Address - Country:US
Mailing Address - Phone:504-906-2113
Mailing Address - Fax:
Practice Address - Street 1:301 SPARTAN DR APT 4109
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5160
Practice Address - Country:US
Practice Address - Phone:504-906-2113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-23
Last Update Date:2018-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health