Provider Demographics
NPI:1255304911
Name:BROWNLEE, DEBORAH L (LISW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1522 E US HIGHWAY 36
Mailing Address - Street 2:STE A
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-9738
Mailing Address - Country:US
Mailing Address - Phone:937-376-8700
Mailing Address - Fax:
Practice Address - Street 1:1521 N DETROIT ST
Practice Address - Street 2:
Practice Address - City:WEST LIBERTY
Practice Address - State:OH
Practice Address - Zip Code:43357-0817
Practice Address - Country:US
Practice Address - Phone:937-465-8065
Practice Address - Fax:937-465-3505
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.10002331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSW37721OtherMEDICARE PTAN