Healthcare Provider Details

I. General information

NPI: 1417847252
Provider Name (Legal Business Name): POWER IN YOU ANTIONE BROWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 NOLEN DR
FLINT MI
48504-5201
US

IV. Provider business mailing address

2380 NOLEN DR
FLINT MI
48504-5201
US

V. Phone/Fax

Practice location:
  • Phone: 810-701-5181
  • Fax:
Mailing address:
  • Phone: 810-701-5181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RICARDO A BROWN
Title or Position: PRESIDENT
Credential: CADC, CHW
Phone: 810-701-5181