| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAVERNE SENORA BRANTLEY | 1144753708 | 2017-04-10 |
Laverne Senora Brantley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144753708. Registration indicates Laverne Senora Brantley is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Ms. Laverne Senora Brantley LPC |
| Practice Office Address | 3510 LINWOOD AVE SHREVEPORT, LA US |
| Practice Office Telephone | 3186364194 |
| Practice Office Fax | 3186364196 |
| Mailing Address | 3510 LINWOOD AVE SHREVEPORT, LA 711034512 US |
| Business Telephone | 3186364194 |
| Business Fax | 3186364196 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3510 Linwood Ave | Shreveport, LA 711034512 | 3186364194 / 3186364196 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 6599
LA |