Healthcare Provider Details

I. General information

NPI: 1962348078
Provider Name (Legal Business Name): T. CEDRIC BROWN MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 CHAPEL LAKE DR APT 303
GAMBRILLS MD
21054-1664
US

IV. Provider business mailing address

2607 CHAPEL LAKE DR APT 303
GAMBRILLS MD
21054-1664
US

V. Phone/Fax

Practice location:
  • Phone: 240-305-1975
  • Fax:
Mailing address:
  • Phone: 240-305-1975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. TERRENCE CEDRIC BROWN
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LCPC
Phone: 240-305-1975