Mandy Michelle Brown, M.ED., LPC
Individual provider Active NPI Professional Counselor · Saltillo, MS
NPI 1922247352 · NPPES record last updated May 1, 2012
Key facts
- NPI
- 1922247352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1499 (MS)
- Practice address
- 110 Union Belle Blvd.
Saltillo, MS 38866-9771 - Phone
- (662) 869-3042
- Fax
- (662) 869-3405
- NPI assigned
- Feb 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1499 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carole Moore Counseling and Consulting, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 1499 | MS | Yes |
Addresses
Primary practice location
110 Union Belle Blvd.
Saltillo, MS 38866-9771
Mailing address
118 Willow Creek Rd
Saltillo, MS 38866-9302
Phone (662) 422-9220
Other providers in Saltillo, MS
- Kirsten J Bolton
- Joshua Edwin Bostick
- Mary Jennings Bouchillon
- Emily Brandon
- Julie C. Brock
- Amber Alicia Bryant
- Christy Lynn Burns
- Caring Heart and Hands House
- Carole Moore Counseling and Consulting, LLC
- Adrianna Carpenter
All providers in Saltillo, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2012. 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.