Healthcare Provider Details

I. General information

NPI: 1386584415
Provider Name (Legal Business Name): CHANTE ROBERTS BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 NW 3RD TER
HALLANDALE BEACH FL
33009-2315
US

IV. Provider business mailing address

802 NW 3RD TER
HALLANDALE BEACH FL
33009-2315
US

V. Phone/Fax

Practice location:
  • Phone: 754-245-9523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: