Healthcare Provider Details

I. General information

NPI: 1841011079
Provider Name (Legal Business Name): CHARMION BROWNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 ROCKAWAY PKWY APT 4C
BROOKLYN NY
11236-5809
US

IV. Provider business mailing address

2105 ROCKAWAY PKWY APT 4C
BROOKLYN NY
11236-5809
US

V. Phone/Fax

Practice location:
  • Phone: 718-954-6280
  • Fax:
Mailing address:
  • Phone: 718-954-6280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number015200
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: