Organization Active NPI

Ebony Brown

  • Community/Behavioral Health Agency
  • Lillington, NC
National Provider Identifier
1104215870
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
P008484 Issued in NC
Legal business name
EBONY BROWN
Practice address
58 Blakely CT
Lillington, NC 27546-9620
Phone
(910) 689-6567
NPI assigned
Jan 17, 2015
Last updated
Jan 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ebony Renee Brown, LCSWA
Title
Therapist
Phone
(910) 689-6567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X P008484 NC Primary

Addresses

Primary practice location

58 Blakely CT
Lillington, NC 27546-9620

Mailing address

58 Blakely CT
Lillington, NC 27546-9620
Phone (910) 689-6567

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1104215870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BLAKELY CT",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469620",
            "telephone_number": "910-689-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BLAKELY CT",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469620",
            "telephone_number": "910-689-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "910-689-6567",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "P008484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.