Provider Demographics
NPI:1134371248
Name:BROWN ROBERSON, LINDA LOUISE (LPC,CPCS,CAC-II,CCS)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LOUISE
Last Name:BROWN ROBERSON
Suffix:
Gender:F
Credentials:LPC,CPCS,CAC-II,CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 HIGHWAY 54 W
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4515
Mailing Address - Country:US
Mailing Address - Phone:770-703-2131
Mailing Address - Fax:
Practice Address - Street 1:1008 HIGHWAY 54 W
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4515
Practice Address - Country:US
Practice Address - Phone:770-703-0213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1928101YA0400X
GALPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health