Provider Demographics
NPI:1023192150
Name:BROWN, LAURA BAKER (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BAKER
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:LAURI
Other - Middle Name:LYNNE BAKER
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:207 ROCK PRAIRIE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8777
Mailing Address - Country:US
Mailing Address - Phone:979-696-5556
Mailing Address - Fax:979-694-7337
Practice Address - Street 1:207 ROCK PRAIRIE RD
Practice Address - Street 2:SUITE B
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8777
Practice Address - Country:US
Practice Address - Phone:979-696-5556
Practice Address - Fax:979-694-7337
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11713101YM0800X
TX3775106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist