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Provider Information for 1154904167


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TAMIKO Y BROWN MA


Sex: Female

NPI: 1154904167
Last Updated: 2023-03-06
Certification Date: 2023-03-06

Details

NameValue
NPI1154904167
Enumeration Date2021-04-29
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 16333 COLUMNS WAY APT 10205
BATON ROUGE, LA 70817-7752
United States

Phone: 225-220-0750 | Fax:
 
Primary Practice Address 16333 COLUMNS WAY APT 10205
BATON ROUGE, LA 70817-7752
United States

Phone: 225-220-0750 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthLA8938