MEDICARE: LASHONDRA BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker
3	1041S0200X	School Social Worker
4	104100000X	Social Worker

General Provider Information

NPI Number	:	1083062921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHONDRA BROWN

Provider Business Mailing Address
First Line	:	PO BOX 298
Second Line	:
City	:	MT VERNON
State	:	TX
Zip	:	75457-0298
Country	:	US
Telephone Number	:	870-592-0687
Fax Number	:

Provider Business Practice Location Address
First Line	:	927 N GREER BLVD
Second Line	:
City	:	PITTSBURG
State	:	TX
Zip	:	75686-1181
Country	:	US
Telephone Number	:	870-592-0687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2016
Last Update Date	:	06/19/2022

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Directions to “ LASHONDRA BROWN ” Practice Location

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