Healthcare Provider Details

I. General information

NPI: 1326925074
Provider Name (Legal Business Name): SEASON NICOLE BROWN MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 N TELSHOR BLVD STE A
LAS CRUCES NM
88011-8234
US

IV. Provider business mailing address

1850 COPPER LOOP BLDG B
LAS CRUCES NM
88005-8141
US

V. Phone/Fax

Practice location:
  • Phone: 575-244-6070
  • Fax:
Mailing address:
  • Phone: 575-255-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number85347
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: