MEDICARE: LILLIAN 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	101YM0800X	Mental Health Counselor	C.1300138TRNE	OH
2	101YM0800X	Mental Health Counselor	C.1300138	OH

General Provider Information

NPI Number	:	1932584018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN BROWN

Provider Business Mailing Address
First Line	:	4631 BELFIORE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-5117
Country	:	US
Telephone Number	:	216-926-1828
Fax Number	:

Provider Business Practice Location Address
First Line	:	4631 BELFIORE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-5117
Country	:	US
Telephone Number	:	216-926-1828
Fax Number	:

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

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	09/03/2021

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Directions to “ LILLIAN BROWN ” Practice Location

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