Provider Demographics
NPI:1811254162
Name:BROWN-POLLARD, BROOKE ASHLEY (LPCA)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:ASHLEY
Last Name:BROWN-POLLARD
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-0356
Mailing Address - Country:US
Mailing Address - Phone:252-342-9192
Mailing Address - Fax:919-288-8528
Practice Address - Street 1:2303A NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1674
Practice Address - Country:US
Practice Address - Phone:252-342-9192
Practice Address - Fax:919-288-8528
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9323101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health