Healthcare Provider Details

I. General information

NPI: 1235052705
Provider Name (Legal Business Name): BROWN AND BLOOM COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 SE 46TH LN STE 5
CAPE CORAL FL
33904-8684
US

IV. Provider business mailing address

1149 SW 42ND ST
CAPE CORAL FL
33914-5704
US

V. Phone/Fax

Practice location:
  • Phone: 239-276-9680
  • Fax:
Mailing address:
  • Phone: 239-276-9680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LETRECIA BROWN
Title or Position: CEO/OWNER
Credential: LCSW
Phone: 954-288-5558