Organization Active NPI

Darnell Brown Community Development Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Texarkana, AR
National Provider Identifier
1245740943
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1525 Issued in AR
Legal business name
DARNELL BROWN COMMUNITY DEVELOPMENT CORPORATION
Practice address
922 Garland Ave
Texarkana, AR 71854-5055
Phone
(870) 216-1561
Fax
(870) 216-1570
NPI assigned
Oct 7, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Ms. W Darlena Brown, ADC
Title
Executive Director/Counselor
Phone
(870) 216-1561

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1525 AR Primary
Lodging Provider 177F00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

922 Garland Ave
Texarkana, AR 71854-5055

Mailing address

PO Box 5
Texarkana, TX 75504-0005
Phone (870) 216-1561

Other practice location 1

917 Garland Ave
Texarkana, AR 71854-5054
Phone (870) 216-1561

Other names 1

  • From Bondage To Freedom Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1245740943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755040005",
            "telephone_number": "870-216-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 GARLAND AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545055",
            "telephone_number": "870-216-1561",
            "fax_number": "870-216-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Garland Ave",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718545054",
            "country_code": "US",
            "telephone_number": "870-216-1561",
            "fax_number": "870-216-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARNELL BROWN COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "W DARLENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "870-216-1561",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "1525",
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "From Bondage To Freedom",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.