Healthcare Provider Details

I. General information

NPI: 1750893624
Provider Name (Legal Business Name): TAWNYA LYNN BROWN SOONG LCSW, CADC1
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAWNYA BROWN

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 CROWN AVE
EUGENE OR
97402-1833
US

IV. Provider business mailing address

3941 CROWN AVE
EUGENE OR
97402-1833
US

V. Phone/Fax

Practice location:
  • Phone: 541-357-6346
  • Fax:
Mailing address:
  • Phone: 541-221-4386
  • Fax: 360-729-3025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL11840
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: