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NPI Code Detail

MEDICARE: ANNA REBECCA BROWN DETREVILLE LMSW

MEDICARE:   ANNA REBECCA BROWN DETREVILLE  LMSW
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
1101YM0800XMental Health Counselor17278SC

General Provider Information

NPI Number : 1902750128
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA REBECCA BROWN DETREVILLE LMSW
Provider Business Mailing Address
First Line : 6 YONAH CT
Second Line :
City : GREENVILLE
State : SC
Zip : 29609-6021
Country : US
Telephone Number : 864-235-7501
Fax Number : 864-235-7503
Provider Business Practice Location Address
First Line : 7 PETTIGRU ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3028
Country : US
Telephone Number : 864-235-7501
Fax Number : 864-235-7503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ ANNA REBECCA BROWN DETREVILLE LMSW” Practice Location

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