Individual
MR. DAVID L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC MHSP
Contact information
Practice address
401 HOLSTON DR, NOLACHUCKEY MENTAL HEALTH CENTER FRONTIER HEALTH, GREENEVILLE, TN 37743
(423) 639-1104
(423) 636-8365
Mailing address
1167 SPRATLIN PARK DRIVE, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC1533
TN
101YP2500X
Professional Counselor
Primary
1533
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290298
MANAGED HEALTH NET
—
01
—
334969
VALUE OPTIONS GROUP
—
01
—
351654200
DOL WORKERS COMP
—
01
—
4098479
MAGELLAN PINNACLE
—
01
—
620582605
CARITEN PHP POS
—
01
—
620582605 021
TRICARE SOUTH
—
Enumeration date
08/13/2006
Last updated
10/14/2019
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