| Brown Clinical Services | |
|
200 E Woodlawn Rd Building 1, Suite 225 E Charlotte NC 28217-2303 | |
| (704) 620-8273 | |
| (803) 324-5111 |
| Full Name | Brown Clinical Services |
|---|---|
| Speciality | Counselor |
| Location | 200 E Woodlawn Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Latasha B Brown (C.E.O.) |
| Authorized Official Contact | 7046208273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Clinical Services 1382 Spring View Ct Rock Hill SC 29732-8849 Ph: (704) 620-8273 | Brown Clinical Services 200 E Woodlawn Rd Building 1, Suite 225 E Charlotte NC 28217-2303 Ph: (704) 620-8273 |
| NPI Number | 1881999209 |
|---|---|
| Provider Enumeration Date | 01/15/2011 |
| Last Update Date | 01/15/2011 |
| Medicare PECOS PAC ID | 5890237119 |
|---|---|
| Medicare Enrollment ID | O20240603000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881999209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7115 (North Carolina) | Primary |
| Provider Name | Latasha Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922257898 PECOS PAC ID: 6709328024 Enrollment ID: I20240603000398 |
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