Healthcare Provider Details

I. General information

NPI: 1730035221
Provider Name (Legal Business Name): CHRISTY M BROWN LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4714 VIENTO DEL NORTE
SANTA FE NM
87507-0866
US

IV. Provider business mailing address

4714 VIENTO DEL NORTE
SANTA FE NM
87507-0866
US

V. Phone/Fax

Practice location:
  • Phone: 505-692-0503
  • Fax:
Mailing address:
  • Phone: 505-692-0503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY MICHELLE BROWN
Title or Position: OWNER
Credential: LCSW
Phone: 505-692-0503