Provider Demographics
NPI:1831127976
Name:BROWN, E SUE (LPC)
Entity Type:Individual
Prefix:
First Name:E SUE
Middle Name:
Last Name: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 1:14 BROWN ST
Mailing Address - Street 2:#2
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-2031
Mailing Address - Country:US
Mailing Address - Phone:770-304-5800
Mailing Address - Fax:
Practice Address - Street 1:14 BROWN ST
Practice Address - Street 2:#2
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-2031
Practice Address - Country:US
Practice Address - Phone:770-304-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA LPC 002343101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional