Healthcare Provider Details

I. General information

NPI: 1881630598
Provider Name (Legal Business Name): GREGORY JAMES BROWN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 MEDICAL CENTER DRIVE AUGUSTA HEALTHCARE CROSSROADS
FISHERSVILLE VA
22939
US

IV. Provider business mailing address

205 E UNION ST
MORGANTON NC
28655-3449
US

V. Phone/Fax

Practice location:
  • Phone: 540-213-2525
  • Fax:
Mailing address:
  • Phone: 828-433-9190
  • Fax: 828-433-9130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701005023
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: