Individual
TIA BROWN BONDS
Active
Individual
TIA BROWN BONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MBA
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1404942
—
LA
01
—
171M00000X
TAXONOMY
LA
05
—
46-3857583
—
LA
Enumeration date
07/12/2017
Last updated
08/01/2024
Update your record
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