LAVERNE BROWN


Address: 10964 Brightside Dr, Tampa, FL 33624-7007
Phone: 6469343279

LAVERNE BROWN (NPI# 1124626155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124626155
Entity Type Individual
Full Name LAVERNE BROWN
Credential LMHC, MCAP
Practice Address 10964 Brightside Dr
Tampa
FL 33624-7007
Practice Telephone 6469343279
Mailing Telephone 6469343279
Enumeration Date 2020-10-12
Last Update Date 2020-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH12668 FL Behavioral Health & Social Service Providers

Office Location

Street Address 10964 BRIGHTSIDE DR
City TAMPA
State FL
Zip Code 33624-7007

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City TAMPA
Zip Code 33624

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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