Doctor Name: | ELLIE SOPHIA BROWN |
NPI Number: | 1285793224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., L.P.C. |
License Number: | 20249 |
Business Practice Address: | 531 Fm 359 Rd S Brookshire, TX - 774239006 |
Business Phone Number: | 2818224219 |
Business Fax Number: | 2813755134 |
Mailing Address: | 11303 Hughes Road, Office 200, HOUSTON |
State: | TX |
Postal Code: | 77089 |
Phone Number: | 2813170021 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 20249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |