Provider Demographics
NPI:1609188606
Name:BROWN, LORI L (LPC, NCC, NCSC, ACS)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC, NCC, NCSC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10194 WHISPERING CV SE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9200
Mailing Address - Country:US
Mailing Address - Phone:910-399-1856
Mailing Address - Fax:
Practice Address - Street 1:1508 MILITARY CUTOFF RD
Practice Address - Street 2:STE. 203
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-5730
Practice Address - Country:US
Practice Address - Phone:910-207-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC922101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional