Sequoia C Brown, M.S. LPC LCDC

Individual provider Active NPI Mental Health Counselor · Paris, TX

NPI 1306195607 · NPPES record last updated Jan 10, 2018

Key facts

NPI
1306195607
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
5369 (OK)
Practice address
1019 S Collegiate Dr
Paris, TX 75460-6309
Phone
(903) 517-4063
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
72961TXMDProfessional Counselor
5369OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Brown Past Accepting new patients
Genesys One Behavioral Health LLC Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5369 OK Yes
Professional Counselor 101YP2500X 72961 TX

Addresses

Primary practice location

1019 S Collegiate Dr
Paris, TX 75460-6309

Mailing address

2642 Lamar Ave
Paris, TX 75460-4847
Phone (903) 706-3083

Other identifiers

IdentifierTypeStateIssuer
100750190MedicaidOK

Other providers in Paris, TX

All providers in Paris, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.