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General NPI Number Information
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NPI Number | 1982110185
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Entity Type | Organization
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Legal Business Name | BROWN THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 6165 NW 86TH ST
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City | JOHNSTON
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State | IA
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Zip | 50131-2270
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Country | US
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Telephone | 515-259-0565
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Fax |
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Provider Business Mailing Address
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Address Line | 6165 NW 86TH ST
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City | JOHNSTON
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State | IA
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Zip | 50131-2270
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Country | US
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Telephone | 515-259-0565
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH THERAPIST
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Name | KRISTY LYNN BROWN
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Credential | LMHC, NCC
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Telephone | 515-259-0565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 00947
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License Number State | IA
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