Provider Demographics
NPI:1578794590
Name:BROWN, LASONYA DENECE (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LASONYA
Middle Name:DENECE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 DALBETH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-5775
Mailing Address - Country:US
Mailing Address - Phone:803-493-2420
Mailing Address - Fax:
Practice Address - Street 1:4511 DALBETH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-5775
Practice Address - Country:US
Practice Address - Phone:803-493-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional