MEDICARE: SALLY MARIE BROWN MA, LPC

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	101YM0800X	Mental Health Counselor	0022326	CO

General Provider Information

NPI Number	:	1548113707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALLY MARIE BROWN MA, LPC

Provider Business Mailing Address
First Line	:	2727 BRYANT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4130
Country	:	US
Telephone Number	:	720-252-0345
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 BRYANT ST
Second Line	:	300 AND B2
City	:	DENVER
State	:	CO
Zip	:	80211-4130
Country	:	US
Telephone Number	:	720-252-0345
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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