Healthcare Provider Details

I. General information

NPI: 1396534509
Provider Name (Legal Business Name): URBAN FLORA PSYCHIATRY AND INTEGRATIVE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 OHEAR AVE STE 215
NORTH CHARLESTON SC
29405-5081
US

IV. Provider business mailing address

4900 OHEAR AVE STE 215
NORTH CHARLESTON SC
29405-5081
US

V. Phone/Fax

Practice location:
  • Phone: 843-323-4689
  • Fax:
Mailing address:
  • Phone: 843-323-4689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LAQUANDRA BROWN
Title or Position: OWNER
Credential: NP
Phone: 707-398-1536