| Doctor Name: | BEVERLEY M HINES BROWN |
| NPI Number: | 1538214911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LPC |
| License Number: | 17975 |
| Business Practice Address: | 39 Depot St Suite One Jane Lew, WV - 26378 |
| Business Phone Number: | 3048848878 |
| Business Fax Number: | 3048848878 |
| Mailing Address: | Po Box 184, 39 Depot St Suite One JANE LEW |
| State: | WV |
| Postal Code: | 26378 |
| Phone Number: | 3048848878 |
| Fax Number: | 3048848878 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 17975 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |