Healthcare Provider Details

I. General information

NPI: 1891622965
Provider Name (Legal Business Name): TERI-ANN D BROWN LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13032 GERSHWIN WAY
SILVER SPRING MD
20904-6811
US

IV. Provider business mailing address

13032 GERSHWIN WAY
SILVER SPRING MD
20904-6811
US

V. Phone/Fax

Practice location:
  • Phone: 240-384-8501
  • Fax:
Mailing address:
  • Phone: 240-384-8501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP12944
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: