Provider Demographics
NPI:1851448336
Name:BROWN, PAULETTE (LAPC)
Entity Type:Individual
Prefix:
First Name:PAULETTE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 LINKMERE LN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-3982
Mailing Address - Country:US
Mailing Address - Phone:404-643-4987
Mailing Address - Fax:
Practice Address - Street 1:340 LINKMERE LANE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-3982
Practice Address - Country:US
Practice Address - Phone:404-643-4987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health