Provider Demographics
NPI:1356649701
Name:BROWN, NATASHA (MSW)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7690 TANNEHILL ROAD
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5037
Mailing Address - Country:US
Mailing Address - Phone:918-426-0470
Mailing Address - Fax:
Practice Address - Street 1:7690 TANNEHILL RD
Practice Address - Street 2:SUITE 400
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5496
Practice Address - Country:US
Practice Address - Phone:918-426-1614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health