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General NPI Number Information
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NPI Number | 1962307975
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Entity Type | Organization
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Legal Business Name | BROWN BEHAVIORAL HEALTH GROUP
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 2203 S 40TH AVE
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City | HATTIESBURG
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State | MS
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Zip | 39402-2915
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Country | US
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Telephone | 601-818-6339
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Fax |
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Provider Business Mailing Address
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Address Line | 2203 S 40TH AVE
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City | HATTIESBURG
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State | MS
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Zip | 39402-2915
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Country | US
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Telephone | 601-818-6339
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | AMANDA QUIN BROWN
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Credential | LCSW
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Telephone | 601-818-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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