Provider Demographics
NPI:1437327780
Name:BROWN, LYNN BORENIUS (EDD, LPC, CHT, CMH)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:BORENIUS
Last Name:BROWN
Suffix:
Gender:F
Credentials:EDD, LPC, CHT, CMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 KIMBERLY DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-4834
Mailing Address - Country:US
Mailing Address - Phone:517-449-3800
Mailing Address - Fax:
Practice Address - Street 1:1043 KIMBERLY DR
Practice Address - Street 2:SUITE 4
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-4834
Practice Address - Country:US
Practice Address - Phone:517-449-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401006543101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional