Healthcare Provider Details

I. General information

NPI: 1407111214
Provider Name (Legal Business Name): TEAGAN BROWN MLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 AMHERST ST
NASHUA NH
03063-1225
US

IV. Provider business mailing address

100 W PEARL ST
NASHUA NH
03060-3343
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-6147
  • Fax:
Mailing address:
  • Phone: 603-889-6147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2117
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: