Healthcare Provider Details

I. General information

NPI: 1427936251
Provider Name (Legal Business Name): ERICA BROWN M.A, LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERICA ORTIZ

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 LOUISIANA BLVD NE STE 4200
ALBUQUERQUE NM
87110-5433
US

IV. Provider business mailing address

2155 LOUISIANA BLVD NE STE 4200
ALBUQUERQUE NM
87110-5433
US

V. Phone/Fax

Practice location:
  • Phone: 505-266-0441
  • Fax: 505-266-0504
Mailing address:
  • Phone: 505-266-0441
  • Fax: 505-266-0504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCMH0211081
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: