Provider Demographics
NPI:1417314907
Name:BROWLEY, LACARMA JENE (LMFT)
Entity Type:Individual
Prefix:
First Name:LACARMA
Middle Name:JENE
Last Name:BROWLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LACARMA
Other - Middle Name:JENE
Other - Last Name:MINTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:3408 KIRKWALL DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-9053
Mailing Address - Country:US
Mailing Address - Phone:501-350-5066
Mailing Address - Fax:
Practice Address - Street 1:3408 KIRKWALL DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-9053
Practice Address - Country:US
Practice Address - Phone:501-350-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4104234Medicaid