MEDICARE: DINAH ROCHELLE BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	85975	TX

General Provider Information

NPI Number	:	1043028442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINAH ROCHELLE BROWN

Provider Business Mailing Address
First Line	:	15006 GULFSTREAM PARK AVE
Second Line	:
City	:	MONT BELVIEU
State	:	TX
Zip	:	77523-2226
Country	:	US
Telephone Number	:	318-548-4761
Fax Number	:

Provider Business Practice Location Address
First Line	:	9511 N HIGHWAY 146
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77523-9677
Country	:	US
Telephone Number	:	430-201-4723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2024
Last Update Date	:	12/18/2024

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Directions to “ DINAH ROCHELLE BROWN ” Practice Location

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