Healthcare Provider Details

I. General information

NPI: 1790286573
Provider Name (Legal Business Name): DAYNA ELIZABETH BROWNE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAYNA ELIZABETH NORWOOD

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 VFW RD
CAMDENTON MO
65020-8411
US

IV. Provider business mailing address

1800 COMMUNITY
CLINTON MO
64735-8804
US

V. Phone/Fax

Practice location:
  • Phone: 844-853-8937
  • Fax: 913-780-3387
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2022003324
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3217
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: