MEDICARE: MRS. AMBER MARIE 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	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1629833363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER MARIE BROWN

Provider Business Mailing Address
First Line	:	5560 TWIN LAKES DR
Second Line	:
City	:	COLLEGE PARK
State	:	GA
Zip	:	30349-3792
Country	:	US
Telephone Number	:	470-506-5035
Fax Number	:

Provider Business Practice Location Address
First Line	:	2459 ROOSEVELT HWY STE B17
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30337-5592
Country	:	US
Telephone Number	:	470-506-5035
Fax Number	:

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

Provider Enumeration Date	:	02/20/2024
Last Update Date	:	02/20/2024

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Directions to “ MRS. AMBER MARIE BROWN ” Practice Location

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