Healthcare Provider Details

I. General information

NPI: 1831039213
Provider Name (Legal Business Name): CHELSIE BROWN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6411 CONSTITUTION DR
FORT WAYNE IN
46804-1549
US

IV. Provider business mailing address

6411 CONSTITUTION DR
FORT WAYNE IN
46804-1549
US

V. Phone/Fax

Practice location:
  • Phone: 260-207-4857
  • Fax:
Mailing address:
  • Phone: 260-207-4857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHELSIE E BROWN
Title or Position: MENTAL HEALTH COUNSELOR
Credential: MA, LMHC
Phone: 574-518-1863