Healthcare Provider Details

I. General information

NPI: 1356286280
Provider Name (Legal Business Name): TERRANCE E BROWN SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 573
SPRINGBORO OH
45066-0573
US

IV. Provider business mailing address

2620 ALBRECHT AVE
DAYTON OH
45404-1405
US

V. Phone/Fax

Practice location:
  • Phone: 380-383-4277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: