Doctor Name: | MRS. MANDY MICHELLE BROWN |
NPI Number: | 1922247352 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., LPC |
License Number: | |
Business Practice Address: | 110 Union Belle Blvd. Saltillo, MS - 388669771 |
Business Phone Number: | 6628693042 |
Business Fax Number: | 6628693405 |
Mailing Address: | 118 Willow Creek Rd, SALTILLO |
State: | MS |
Postal Code: | 388669302 |
Phone Number: | 6624229220 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2009 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |