1841453537 NPI number — BROWN CONSULTANTS AND ASSOCIATES INC TXHML

Table of content: CHRISTINA LASHA MICK LPC (NPI 1518014554)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841453537 NPI number — BROWN CONSULTANTS AND ASSOCIATES INC TXHML

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BROWN CONSULTANTS AND ASSOCIATES INC TXHML
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841453537
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 530652
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRAND PRAIRIE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75053-0652
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-774-1070
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 SW DALLAS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRAND PRAIRIE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75051-1735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-774-1070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
BETTINA
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
469-774-1070

Provider Taxonomy Codes

  • Taxonomy code: 311Z00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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