Provider Demographics
NPI:1982907549
Name:BROWN, LAURA ASHLEY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ASHLEY
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:ASHLEY
Other - Last Name:DALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:776 CALAMUS PALM PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-2647
Mailing Address - Country:US
Mailing Address - Phone:702-371-0598
Mailing Address - Fax:
Practice Address - Street 1:501 S. RANCHO DR.
Practice Address - Street 2:STE. B-10
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106
Practice Address - Country:US
Practice Address - Phone:702-891-4910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker