Healthcare Provider Details

I. General information

NPI: 1285808956
Provider Name (Legal Business Name): ANGELA BROWN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW 300
WASHINGTON DC
20006-1602
US

IV. Provider business mailing address

3001 BRANCH AVE 114
TEMPLE HILLS MD
20748-1072
US

V. Phone/Fax

Practice location:
  • Phone: 202-835-0680
  • Fax: 202-331-3759
Mailing address:
  • Phone: 301-899-7686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT 000028
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: