Healthcare Provider Details

I. General information

NPI: 1881520914
Provider Name (Legal Business Name): JUSTINE MARIE BROWN LCAT ATR-BC CASAC2
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 BELLMORE AVE
NORTH BELLMORE NY
11710-5639
US

IV. Provider business mailing address

1965 BELLMORE AVE
NORTH BELLMORE NY
11710-5639
US

V. Phone/Fax

Practice location:
  • Phone: 516-232-6431
  • Fax:
Mailing address:
  • Phone: 516-232-6431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number40068
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number001589-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: