Provider Demographics
NPI:1417385394
Name:PALMER-BROOKS, ALUTHIA (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:ALUTHIA
Middle Name:
Last Name:PALMER-BROOKS
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 SELMAN DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-4740
Mailing Address - Country:US
Mailing Address - Phone:318-331-8935
Mailing Address - Fax:318-281-0457
Practice Address - Street 1:119 SELMAN DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-4740
Practice Address - Country:US
Practice Address - Phone:318-331-8935
Practice Address - Fax:318-281-0457
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-31
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional