Healthcare Provider Details

I. General information

NPI: 1396653093
Provider Name (Legal Business Name): TASHEENA BROWN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHEENA BROWN

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 EAGLE POINT CORPORATE DR
BIRMINGHAM AL
35242-6986
US

IV. Provider business mailing address

4000 EAGLE POINT CORPORATE DR
BIRMINGHAM AL
35242-6986
US

V. Phone/Fax

Practice location:
  • Phone: 205-538-0244
  • Fax: 659-234-6013
Mailing address:
  • Phone: 205-538-0244
  • Fax: 659-234-6013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6987C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: