Healthcare Provider Details

I. General information

NPI: 1740718816
Provider Name (Legal Business Name): BRITTNEY BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 02/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 HALSEY AVE
NEW ORLEANS LA
70114-3305
US

IV. Provider business mailing address

1833 HALSEY AVE
NEW ORLEANS LA
70114-3305
US

V. Phone/Fax

Practice location:
  • Phone: 504-458-6961
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: