Healthcare Provider Details

I. General information

NPI: 1295646081
Provider Name (Legal Business Name): BROWN BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5947 JEFFERSON AVE
NEWPORT NEWS VA
23605-3244
US

IV. Provider business mailing address

5947 JEFFERSON AVE
NEWPORT NEWS VA
23605-3244
US

V. Phone/Fax

Practice location:
  • Phone: 757-660-4963
  • Fax:
Mailing address:
  • Phone: 757-660-4963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELTON BROWN
Title or Position: CEO
Credential:
Phone: 757-660-4963