Healthcare Provider Details

I. General information

NPI: 1013762830
Provider Name (Legal Business Name): BROWN CONSULTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 04/27/2024
Certification Date: 04/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 N KROME AVE STE 405
HOMESTEAD FL
33030-4443
US

IV. Provider business mailing address

PO BOX 471883
MIAMI FL
33247-1883
US

V. Phone/Fax

Practice location:
  • Phone: 305-246-0210
  • Fax:
Mailing address:
  • Phone: 754-216-3700
  • Fax: 855-275-5174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MONTE BROWN
Title or Position: CEO
Credential: LCSW
Phone: 305-328-1042