Provider Demographics
NPI:1467806331
Name:BROWN, GREGORY (LPCA)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10494
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27532-0494
Mailing Address - Country:US
Mailing Address - Phone:919-330-4576
Mailing Address - Fax:919-581-5017
Practice Address - Street 1:1503 WAYNE MEMORIAL DR STE H
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-2203
Practice Address - Country:US
Practice Address - Phone:919-330-4576
Practice Address - Fax:919-581-5017
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional