Provider Demographics
NPI:1134504491
Name:BROWELL, DIANN (LMSW, LCDC)
Entity Type:Individual
Prefix:
First Name:DIANN
Middle Name:
Last Name:BROWELL
Suffix:
Gender:F
Credentials:LMSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294119
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75029-4119
Mailing Address - Country:US
Mailing Address - Phone:972-221-1194
Mailing Address - Fax:
Practice Address - Street 1:4325 WINDSOR CENTRE TRL
Practice Address - Street 2:500
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1863
Practice Address - Country:US
Practice Address - Phone:972-221-1194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12506101YA0400X
TX58527104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)