Healthcare Provider Details

I. General information

NPI: 1376456681
Provider Name (Legal Business Name): HANA MARIKO BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

476 APPLETON ST STE 5
HOLYOKE MA
01040-3236
US

IV. Provider business mailing address

26 HIGH ST APT 2
EASTHAMPTON MA
01027-1477
US

V. Phone/Fax

Practice location:
  • Phone: 978-799-7397
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: