1255583571 NPI number — DR. ERIKA ANN BROWN DLLP LPC NCC CCTP

Table of content: DR. ERIKA ANN BROWN DLLP LPC NCC CCTP (NPI 1255583571)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255583571 NPI number — DR. ERIKA ANN BROWN DLLP LPC NCC CCTP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
ERIKA
Provider Middle Name:
ANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DLLP LPC NCC CCTP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
THOMAS-COLLINS
Provider Other First Name:
ERIKA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS LPC NCC CCTP ACS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1255583571
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
58089 MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48048-2697
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-604-9101
Provider Business Mailing Address Fax Number:
586-690-4902

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
58089 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48048-2697
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-604-9101
Provider Business Practice Location Address Fax Number:
586-690-4902
Provider Enumeration Date:
10/17/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 6351004405 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 6401011891 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1518354471 . This is a "GROUP NPI" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 6351004405 . This is a "DOCTORAL EDUCATED LIMITED LICENSE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 6401011891 . This is a "PROFESSIONAL COUNSELOR LICENSE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".