Healthcare Provider Details

I. General information

NPI: 1780544585
Provider Name (Legal Business Name): VICTOR BROWN JR. M.S., LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 HILLCREST DR STE 8
WACO TX
76708-3144
US

IV. Provider business mailing address

3500 HILLCREST DR STE 8
WACO TX
76708-3144
US

V. Phone/Fax

Practice location:
  • Phone: 254-262-3506
  • Fax: 254-262-3506
Mailing address:
  • Phone: 254-262-3506
  • Fax: 254-262-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number89653
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: