Individual
MYRA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
4405 MALL BLVD STE 415, UNION CITY, GA 30291-2044
(770) 824-8822
Mailing address
3255 LAWRENCEVILLE SUWANEE RD # P559, SUWANEE, GA 30024-6540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/04/2018
Last updated
10/09/2023
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