Healthcare Provider Details

I. General information

NPI: 1447725825
Provider Name (Legal Business Name): DANIELLE LAUREN BROWN MS, LPC, NCC, ACS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2018
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 NEWMAN SPRINGS RD STE 143
RED BANK NJ
07701-6767
US

IV. Provider business mailing address

1001 FISCHER BLVD STE 3 PMB 1043
TOMS RIVER NJ
08753-3818
US

V. Phone/Fax

Practice location:
  • Phone: 732-703-6716
  • Fax:
Mailing address:
  • Phone: 732-703-6716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00643100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: