Provider Demographics
NPI:1326644840
Name:BROWN, ALEXUS NICHELLE
Entity Type:Individual
Prefix:
First Name:ALEXUS
Middle Name:NICHELLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 HORSESHOE BND
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-1848
Mailing Address - Country:US
Mailing Address - Phone:832-414-5729
Mailing Address - Fax:
Practice Address - Street 1:2922 ROSEDALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6188
Practice Address - Country:US
Practice Address - Phone:832-414-5729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health