Provider Demographics
NPI:1184198194
Name:SUSAN BROWN, LCMHC, LLC
Entity Type:Organization
Organization Name:SUSAN BROWN, LCMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:603-823-7701
Mailing Address - Street 1:609 BIRCHES RD
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:NH
Mailing Address - Zip Code:03586-4417
Mailing Address - Country:US
Mailing Address - Phone:603-823-7701
Mailing Address - Fax:603-768-4255
Practice Address - Street 1:101 COTTAGE ST STE 2B
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4218
Practice Address - Country:US
Practice Address - Phone:603-823-7701
Practice Address - Fax:603-768-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1022892Medicaid
NH3094102Medicaid