Healthcare Provider Details

I. General information

NPI: 1821938663
Provider Name (Legal Business Name): LYNN BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 S ELMS RD STE A
SWARTZ CREEK MI
48473-9767
US

IV. Provider business mailing address

2029 S ELMS RD STE A
SWARTZ CREEK MI
48473-9767
US

V. Phone/Fax

Practice location:
  • Phone: 810-285-8429
  • Fax: 810-204-4950
Mailing address:
  • Phone: 810-285-8429
  • Fax: 810-204-4950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024959
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: