Provider Demographics
NPI:1477191948
Name:BROWN, GINGER LYN (LPC)
Entity Type:Individual
Prefix:MS
First Name:GINGER
Middle Name:LYN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4014 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4101
Mailing Address - Country:US
Mailing Address - Phone:361-589-1121
Mailing Address - Fax:956-992-1090
Practice Address - Street 1:4014 N 22ND ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4101
Practice Address - Country:US
Practice Address - Phone:361-589-1121
Practice Address - Fax:956-992-1090
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX409246203Medicaid