Provider Demographics
NPI:1053069237
Name:DEY, BRIANA DAVIS (MA, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:DAVIS
Last Name:DEY
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 EVEREST DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1729
Mailing Address - Country:US
Mailing Address - Phone:504-296-3584
Mailing Address - Fax:
Practice Address - Street 1:342 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2718
Practice Address - Country:US
Practice Address - Phone:985-643-1605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6039101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor