Coran Brown
Individual provider Active NPI Counselor · Antioch, TN
NPI 1033030465 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1033030465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2900 Baby Ruth LN Apt 310
Antioch, TN 37013-2360 - Phone
- (217) 841-9022
- NPI assigned
- Jul 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2900 Baby Ruth LN Apt 310
Antioch, TN 37013-2360
Mailing address
2900 Baby Ruth LN Apt 310
Antioch, TN 37013-2360
Phone (217) 841-9022
Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.