Billie Brown, CRC
Individual provider Active NPI Counselor · Nokomis, FL
NPI 1740480235 · NPPES record last updated Aug 16, 2007
Key facts
- NPI
- 1740480235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 00071748 (FL)
- Practice address
- 208 Myrtle Ave
Nokomis, FL 34275-1441 - Phone
- (678) 574-0435
- NPI assigned
- Jul 23, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00071748 | FL | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00071748 | FL | Yes |
Addresses
Primary practice location
208 Myrtle Ave
Nokomis, FL 34275-1441
Mailing address
PO Box 656
Nokomis, FL 34274-0656
Other providers in Nokomis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2007. 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.