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NPI Code Detail

MEDICARE: AYANA BROWN

MEDICARE: AYANA 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
1101YM0800XMental Health Counselor39002924AIN

General Provider Information

NPI Number : 1316697691
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYANA BROWN
Provider Business Mailing Address
First Line : 7584 PENNYCROFT DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-8758
Country : US
Telephone Number : 765-430-4449
Fax Number :
Provider Business Practice Location Address
First Line : 695 JUSTICE WAY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-1574
Country : US
Telephone Number : 317-327-1702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2022
Last Update Date : 03/28/2022

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Directions to “ AYANA BROWN ” Practice Location

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