Provider Demographics
NPI:1295509875
Name:BROWN, REBECCA WILLIAMS
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:WILLIAMS
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CLAIBORNE ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-2612
Mailing Address - Country:US
Mailing Address - Phone:318-432-5400
Mailing Address - Fax:318-432-5595
Practice Address - Street 1:800 CLAIBORNE ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-2612
Practice Address - Country:US
Practice Address - Phone:318-432-5400
Practice Address - Fax:318-432-5595
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA27981041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool