MEDICARE: MS. ERIN NICOLE BROWN LMHC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39002087A	IN

General Provider Information

NPI Number	:	1841439833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN NICOLE BROWN LMHC

Provider Business Mailing Address
First Line	:	942 TANAGER DR
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203-1926
Country	:	US
Telephone Number	:	812-375-4182
Fax Number	:

Provider Business Practice Location Address
First Line	:	424 WASHINGTON ST STE 7
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-6790
Country	:	US
Telephone Number	:	812-799-1350
Fax Number	:	812-799-1351

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

Provider Enumeration Date	:	02/13/2009
Last Update Date	:	07/19/2020

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