Provider Demographics
NPI:1659600278
Name:ARLEDGE BROWN, TANIELLE LOVEVET (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TANIELLE
Middle Name:LOVEVET
Last Name:ARLEDGE BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 SIX FORKS RD STE 400
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2965
Mailing Address - Country:US
Mailing Address - Phone:919-637-4089
Mailing Address - Fax:888-462-2058
Practice Address - Street 1:8601 SIX FORKS ROAD, SUITE 480
Practice Address - Street 2:FORUM I
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-637-4089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7622101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional