Provider Demographics
NPI:1225324130
Name:BROWN, ALEXIS (CASE MANAGER)
Entity Type:Individual
Prefix:MISS
First Name:ALEXIS
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-1512
Mailing Address - Country:US
Mailing Address - Phone:203-574-3986
Mailing Address - Fax:203-597-5459
Practice Address - Street 1:402 E MAIN ST
Practice Address - Street 2:MORRIS FOUNDATION, INC.
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1701
Practice Address - Country:US
Practice Address - Phone:203-755-1143
Practice Address - Fax:203-755-1447
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator