Provider Demographics
NPI:1437525888
Name:BROWN, MANDA SHAE (LMSW)
Entity Type:Individual
Prefix:
First Name:MANDA
Middle Name:SHAE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8676 GOODWOOD BLVD SUITE 105
Mailing Address - Street 2:ALTERNATE THERAPEUTIC SOLUTIONS, LLC
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7900
Mailing Address - Country:US
Mailing Address - Phone:225-636-5817
Mailing Address - Fax:866-507-9329
Practice Address - Street 1:8676 GOODWOOD BLVD SUITE 105
Practice Address - Street 2:ALTERNATE THERAPEUTIC SOLUTIONS, LLC
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7900
Practice Address - Country:US
Practice Address - Phone:225-636-5817
Practice Address - Fax:866-507-9329
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA133361041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool