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NPI Code Detail

MEDICARE: GILBERT & BROWN COUNSELING AND CONSULTING SERVICES, LLC

MEDICARE: GILBERT & BROWN COUNSELING AND CONSULTING SERVICES, LLC
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
11041C0700XClinical Social Worker0598-1586CAL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151512925BROOTHERALPARTNER BLUE CROSS NUMBER
251512924GILOTHERALPARTNER BLUE CROSS NUMBER

General Provider Information

NPI Number : 1962545996
Entity Type Code : Organization
Provider Name (Legal Business Name) : GILBERT & BROWN COUNSELING AND CONSULTING SERVICES, LLC
Provider Business Mailing Address
First Line : 3565 LORNARIDGE DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35216-5246
Country : US
Telephone Number : 205-823-8449
Fax Number : 205-823-9918
Provider Business Practice Location Address
First Line : 3565 LORNARIDGE DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35216-5246
Country : US
Telephone Number : 205-823-8449
Fax Number : 205-823-9918
Authorized Official
Title or Position : MANAGING PARTNER
Name : MS. SUE ANN BINGHAM BROWN
Credential : MSW, LCSW, PIP
Telephone Number : 205-823-8449
Provider Enumeration Date : 02/15/2007
Last Update Date : 08/22/2020

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