Provider Demographics
NPI:1275745929
Name:STEVEN P BROWN LISW P.A.
Entity Type:Organization
Organization Name:STEVEN P BROWN LISW P.A.
Other - Org Name:BEHAVIORAL COUNSELING OF SC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:864-582-4080
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-0006
Mailing Address - Country:US
Mailing Address - Phone:864-582-4080
Mailing Address - Fax:864-574-4066
Practice Address - Street 1:309 ENGLISH IVY CT # 8801
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369-8801
Practice Address - Country:US
Practice Address - Phone:864-582-4080
Practice Address - Fax:864-574-4066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVEN P BROWN LISW P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-04
Last Update Date:2014-09-06
Deactivation Date:2009-04-02
Deactivation Code:
Reactivation Date:2010-11-22
Provider Licenses
StateLicense IDTaxonomies
SCSC LIC #19041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1275745929OtherORGANIZATIONAL TYPE II NPI
SC1821091737OtherTYPE I NPI #
SC9626OtherMEDICARE PTAN
SC9626OtherMEDICARE PTAN